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FIR OFFICE USE ONLY PERMIT# 1%0'))' b(a 1 <br /> BUILDING 1 PLANNING __ <br /> Bldg/TI/Addn/Rem Size % 4) Zoning Classification - i <br /> Garage Size Overlay/Agreement <br /> VALUATION to/ ciao Nonresidential Use <br /> Number of Stories i Residential Use <br /> Occupancy Group Lf Proposed No. of Dwelling Units: I <br /> Occupant Load 4/3- 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_ Nod Phone#: <br /> Reason ,s-OoQ Approved by: �'��-- Date: /--zq//6 <br /> - <br /> Existing Fire Alarm Yes_ No—Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes No <br /> Reason C it-tr2 ,-- 2,5-0 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: Lt' j) .4 O& / F School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: ® 2 6�'1: Comments: <br /> LM -' <br /> i t <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 ❑ 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-Concurren Review(separate gr en f Ider) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer. • Date: <br /> Water Fee gPW Permit Approved- PW/304-0/3 ,�j� <br /> Sewer Fee IR See PW Review Worksheet. SyS d&V f'/r ;IC" . /7W eiA t <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 . fisting Bldg. <br /> Update/New Fire Service Yes No Z Existing Bldg.— <br /> Approved by: p-as. a___GC Date: (--/- 3 -1 <br /> Comments: <br />