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ip FOR OFFICE USE ONLY 0 PERMIT <br />BUILDING <br />L PLANNING <br />BldgfTl/Addn/Rem Size <br />L-C, C;p <br />Zoning Classification <br />Garage Size <br />Overlay/Agreement <br />VALUATION <br />3Co3 toto2- <br />Nonresidential Use <br />Number of Stories <br />Residential Use <br />Occupancy Group <br />Proposed No. of Dwelling Units: <br />Occupant Load <br />Total No. of Dwelling Units: <br />Basement <br />No- Yes X Fin / Unfin <br />Landscape or Planning Inspection <br />needed before final? Yes _ No <br />Type of Construction <br />V - tq <br />Existing Sprinkler System? <br />Yes' _ No X Unk_ <br />Planning Inspector: <br />Fire Sprinkler Required <br />Yes No <br />Phone #: <br />Reason <br />7 LOCXIIXD4"2 <br />Approved by: Date: <br />Existing Fire Alarm <br />Yes _ No X Unk_ <br />Historic Approved by: Date: <br />Fire Alarm Required <br />Yes No <br />School Mitigation Reqd? Yes _ No <br />Reason <br />�- 34Aca 44-�" <br />Everett School Dist Mukilteo School Dist <br />RCW 64.55 MF worksheet req'd for permit? Yes A No <br /># of Net New Units: <br />Add'I RCW 64.55 does required prior tq final? Yes No <br />Calculated School Impact Fee: <br />Architectural Approved By/Date: \ <br />1 `� <br />School Impact Fee Credit: <br />(D <br />Structural Approved By/Date: <br />Total School Impact Fee Owed: <br />Comments: <br />Intake OK by: <br />Comments: q uc se <br />L4r.oi-S- > <br />Intake OK by: Okto route — Hold <br />Make this a "W ermit? Yes No <br />P14BLIC WORKS <br />FEES <br />INTAKE: Checked By: Date: <br />Comments: R �j ✓ tTrt E cv/_ <br />C�K# �� ,c�,p /�±� A <br />High azard itd" Medic' af, Aniima ,llllortua�f "F%tc-rceview for RPBA) <br />❑ Public Works / Sys Dev / Traffic Mit. / RPBA - NOT REQUIRED <br />Route for Public Works Review (bldg folder, PW Worksheet) <br />5? Public Works Perm it-Concu rre ntReview (separate green folde ) <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Plumbing Fee <br />Mechanical Fee <br />Ping Bldg Review Fee <br />PW REVIEW: PW Reviewer: Date: <br />PW Permit Approved - PW I goy 004 ��� 23`'2�19 <br />See PW Review Worksheet 44'f'-'�'2 <br />❑ PW Permit Not Required <br />Water Fee <br />Sewer Fee <br />Systems Dev. Fee <br />Traffic Mitigation Fee <br />Public Works Fee <br />FIRE DEPARTMENT <br />School Mitigation Fee <br />Update/New Sprinklers <br />s o Existing Bldg._ <br />Update/ New Detection <br />Yes No Existing Bldg. _ <br />Update/ New Chemical <br />Y No Existing Bldg. <br />Update/ New Fire Service <br />es Existing Bldg. <br />Approved by: Date: <br />Comments: <br />kiev vvC� s� . <br />