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0 FOR OFFICE USE ONLY • PERMIT# w)VJ-orci <br /> BUILDING PLANNING <br /> BldgrTl/Addn/Rem Size Zoning Classification Cr I <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> . / <br /> Occupancy Group 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 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: t, Date: I-)a /6 <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes_ No le <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 o final? e No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: - D School Impact Fee Credit: <br /> Structural Approved By/Date: / Total School Impact Fee Owed: <br /> Comments: l/1iwy' it ,,�L,G ( ry .ctFA/ G/AlL. Comments: <br /> /261 <br /> L d 4/6 CdLC S ei/Sit& rrrAL1 06r'r.s r z,✓G <br /> Intake OK by ,4. cf,. /7//:1' Intake OK by: 11 ti- 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: see. until -67- con✓8 4 b'1t 4 '/ /tA'✓ <br /> Building Permit c S 1Se buildlhq_m ou71 in h7 40•W <br /> attAtin- No Awl o1VAL P£e/nlrx NECDF,I) Kk <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review or 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 ❑ Public Works Permit-Concurrent Review(separate green fol er) <br /> Ping Bldg Review Fee P REVIEW: PW Reviewer: Date: 2 <br /> Water Fee ❑ Permit Approved-PW <br /> Sewer Fee El See Review Worksheet 8/845-029 /pp — p <br /> Systems Dev. Fee 0 PW Perini of Required ��i/�eL- <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 Fikv Service Yes No Existing Bldg. <br /> Approved by: () L./LL'ir-- —' <br /> Date: ?-i +( <br /> Comments: <br /> (--/- <br />