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FOR OFFICE USE ONLY PERMIT# N gd l —oDA <br /> BUILDING - PLANNING <br /> Bldg/TI/Add em ize ( 1 / 0 Sly (ti2) Zoning Classification <br /> Garage Size El J SI f (t//-1/4) Overlay/Agreement <br /> VALUATION 401 600 Nonresidential Use <br /> Number of Stories 2 Residential Use <br /> Occupancy Group `( t Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No_ <br /> Existing Sprinkler System? Yes_ No Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes No_ <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No_ #of Net New Units: <br /> Add'l RCW 64.55 docs required prior to final?Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: ()it" 1460/ (E, School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: - <br /> Comments:7,o i WS" Comments: <br /> , 1/)7 1A) /X42 / :/r16 ,17 )c 6 P. r . a, <br /> a471-0 cowS>r-tic-z o,) R6 Ts, CQ <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes No <br /> PUBLICWORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortu.- ,etc-Review for RP-870, <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RP: NOT REQUIj' <br /> Plumbing Fee 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes_ No_ Existing Bldg._ <br /> Update/New Detection Yes_ No_ Existing Bldg. <br /> Update/New Chemical Yes_ No_ Existing Bldg._ <br /> Update/New Fire Service Yes_ No_ Existing Bldg. <br /> Approved by: Date: <br /> Comments: <br /> �,Z <br />