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FOR OFFICE USE ONLY PERMIT# L I T -d�3 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 10 a Zoning Classification <br /> Garage Size 3 lc, 5,‹ Overlay/Agreement <br /> VALUATION ZZ 3, 3 z1 7 Nonresidential Use — <br /> Number of Stories 3 Residential Use NAA \ k <br /> Occupancy Group Z/u Proposed No. of Dwelling Units: \_Ck <br /> Occupant Load Total No. of Dwelling Units: Cl\,^&N \( kjok <br /> Basement No jiYes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes X 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: J l J c / Date: <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes X No <br /> Reason Everett School Dist \L Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No Calculated School Impact Fee: <br /> Architectural Approved By/Date: ' /O//7-// School Impact Fee Credit: <br /> Structural Approved By/Date: ----- Total School Impact Fee Owed: <br /> Comments: Z a/6 //�.L Comments: <br /> Aske l ca,A\sq,o, Nvi fe <br /> Intake OK by: Intake OK by: Ok to route _ Hold <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Animals, Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA- NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folcier) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: pf0/TZ3/Zen' <br /> Water Fee 'PW Permit Approved-PW -0g <br /> Sewer Fee 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 />