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FOR OFFICE USE ONLY PERMIT#C O' -00.-3 <br /> BUILDING PLANNING <br /> (ildg/1)/Addn/Rem Size 2 3Zoning Classification <br /> Garage Size 'Z1 S c Overlay/Agreement <br /> VALUATION c1�9/ Nonresidential Use <br /> Number of Stories I Residential Use � <br /> Occupancy Group (A Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: CAR. <br /> Basement No i Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction Z/j needed before final? Yes_ No Y. <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: ---- <br /> Fire <br /> Fire Sprinkler Required Yes_ No Phone#: �, <br /> Reason Approved by:( Date: \-21.Z _,Jr <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: }i(, 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'I RCW 64.55 docs required prior to final?Yes_ No Calculated School Impact Fee/ <br /> Architectural Approved By/Date: (� R/ ta School Impact Fee Cre . . <br /> Structural Approved By/Date: Total School Impa ee Owed: <br /> Comments: Z-°' /s-- /72(.. Comments: , <br /> N\\Jks VAkQ, Q9v'�&,v S 0 ' ..6V- As'dlS <br /> Intake OK by: j' Intake OK by: Ok to route )( Hold <br /> Make this a"W" Permit? Yes No 7< <br /> PUBLIC WORKS , <br /> FEES INTAKE: Checked By: Date: , (Nq <br /> Plan Check Fee Co ments: /L g' F' -Aid ,� &A ! r dur{z et U <br /> Building Permit 1/.S-t°s ask 6/4 c /6)n. OvflV p m/ <br /> Or r A dStl e pe.acid E,afAli cern /i 4iaye cjcrrrkr/r s. <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA- NOT REQUIRED <br /> Plumbing Fee %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 P REVIEW: PW Reviewer: Date: <br /> Water Fee PW Permit Approved- PW , DI U 06-. <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 /> 612) <br />