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d <br /> FOR OFFICE USE ONLY PERMIT# C l 40°J <br /> BUILDING .. :` PLANNING <br /> Bldg/TI/Addne0 Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 2-c00 Nonresidential Use <br /> Number of Stories '2. Residential Use <br /> Occupancy Group i-AA 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 Jig needed before final? Yes No_ <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: / <br /> Reason Approved by: Date: 3/q /r <br /> r <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'I RCW 64.55 docs required prior to final?Yes— No Calculated School Impact Fee: <br /> Architectural Approved By/Date: 'If 2/1c School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: / <br /> Comments: z.O/s' `/fir` f T GJSzG Comments: /`�ll, 6 _�•-� ��f kt' !77/n;mot <br /> (ceQY4 " —Or pa l�`I <br /> Intake OK by: Intake OK by: Ok to route _ Hold <br /> Make this a"W"Permit? Yes tr-e <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 folder)1 <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: /1 Date: <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 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: es <br /> Comments: <br />