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• FOR OFFICE USE ONLY • PERMIT;'Il1'1 10'01 Ka <br /> BUILDING PLANNING <br /> Bldg/TI/ :. /•emSize 16:6 .Sp Zoning Classification G - <br /> Garage Size c�77 Overlay/Agreement <br /> VALUATION -9/ 2�S Nonresidential Use <br /> Number of Stories 2- Residential Use S <br /> Occupancy Group (2 Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: 0\1\-(2- <br /> Basement No_ Yes Fin / Landscape or Planning Inspection <br /> Type of Construction .V--U5 needed before final? Yes No <br /> Existing Sprinkler System? Yes No Unk— Planning Inspector: <br /> Fire Sprinkler Required Yes— No— Phone#: <br /> Reason Approved byC i - Date: 1.2/1,° I V)I <br /> Existing Fire Alarm Yes_ No—Unk_ Historic Approved by: IJ( Ar 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 prior to final?Yes_ No Calculated School Impact Fee: <br /> Architectural Approved By/Date: dth I 2..//%9- School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Ow d: <br /> Comments: 2.0/6 J x-4/` ex jc Comments: <br /> Intake OK by: Intake OK 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 ❑ 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 PW REVIEW: PW Reviewer: X.B Date: /0-30-1 7 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee M PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee -IREDEPARTMENT <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 /> ro <br />