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• FOR OFFICE USE ONLY PERMIT# 61%01e-00 <br /> . . <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group 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 /> — <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.'RCW 64.55 docs required pri,, o final?Yes No Calculated School Impact Fee: <br /> Architectural Approved By/Dat; i School Impact Fee Credit: <br /> Structural Approved By/Dat z/ 00044 Total School Impact Fee Owed: <br /> t/4 <br /> Comments: ‘4.4 Comments: <br /> at i 1 it/tex0•1" <br /> Intake OK by: Intake OK by: Ok to route Hold <br /> Make this a"W Permit? Yes No <br /> ' ::, :''..:: .,-..':•;:::::',.'i.:FiliBLIO WC:1140....1H;.....::: ..':.,.,..,:.1.,:...: <br /> .;:.::-,:' ..•:i.FEES::: :. .:.-:.: , .,.., ' : ..s..:. :: :- :::.,;i: :..:.!•::1,, 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-Concurrenti,* w(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: 4111110 Date: VS/(6 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee ErPW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee :. . I-.:' -. -'-:: . .FIRE.DEPARTMENT"..,•:.:. , ...: ...:::! . ... <br /> School Mitigation Fee Update/New Sprinklers Yes / No Existing Bldg. <br /> - Update/New Detection -Yes .7 No Existing Bldg. <br /> Update/New Chemical Yes No ,,,, Existing Bldg. / <br /> Update/New Fire Service Yes No -'-Existing Bldg. <br /> z_kkj. --- <br /> Approved by: e„, .--Lr--- Date: Zr-2..--2A-18, <br /> I u-via--15A-- <br /> Comments: <br /> 4__ <br />