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FOR OFFICE USE ONLY PERMIT# ��t —003 <br /> BUILDING <br /> PI4MNING. . <br /> Bldg/TI/Addn/Rem Size XIST r G Zoning Classification 2— r <br /> Garage Size Overlay/Agreement <br /> VALUATION tot Qa Nonresidential Use <br /> Number of Stories Residential Use Csc` <br /> c <br /> Occupancy Group (`Z Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No_ Yes LC / Unfin Landscape or Planning Inspection / <br /> Type of Construction needed before final? Yes Alo <br /> Existing Sprinkler System? Yes_ No Link_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved 9P Date: I /(1— <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approve. •y: Date: l <br /> Fire Alarm Required Yes_ No_ School Mitigation Regd'' es_ No <br /> Reason Everett School Dist Muk' -. chool 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 o• Impact Fee: <br /> Architectural Approved By/Date: d't't' o f /I Sc ,• Impact ''ee Credit: <br /> Structural Approved By/Date: Total School pact Fee Owed: <br /> Comments: Z 0 is- ikc 101-6c Comments' <br /> Intake OK by: Intake OK by: Ok to route _ Hold <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS <br /> INTAKE. Checked B <br /> y: 6•15 Date. .1f <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortua.,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./ - :A-NOT REQUIRED <br /> Plumbing Fee Route for Public Works Review(bl.: folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Re' v(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: .01e6" Date://"17J 7 <br /> Water Fee 0 PW Permit Approved-P <br /> Sewer Fee 0 See PW Review Wor heet <br /> Systems Dev. Fee fIX PW Permit Not RF .fired <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New l,..nklers Yes_ No_ Existing Bldg._ <br /> Update/N Detection Yes_ No_ Existing Bldg. <br /> Update/ ew Chemical Yes No_ Existing Bldg. <br /> Upda /New Fire Service Yee I No_ Existing Bldg._ <br /> Approved by: Date: <br /> Comments: � \J <br />