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E. <br />a•z <br />-t :-cn w <br />+ 3d (ttos7 + t5 (i9) (}U�Z�IIVta <br />-30 FOR OFFICE USE ONLY ! PERMIT # <br />BUILDING <br />PLANNI G <br />BI I/Addn/Rem Size <br />�lD�i5 Z_ <br />Zoning Classification <br />' 2 ?j -M Q <br />Garage Size <br />Overlay/Agreement <br />VALUATION <br />15; <br />Nonresidential Use <br />Number of Stories <br />Residential Use <br />Occupancy Group <br />�7 " ' �" R� 3 <br />Proposed No. of Dwelling Units: -'- <br />Occupant Load <br />Total No. of Dwelling Units: <br />- <br />Basement <br />No Yes Fin / Unfin <br />Landscape or Planning Inspection <br />needed before final? Yes 1.-�No <br />Type of Construction <br />-r, C) � <br />Existing Sprinkler System? <br />Yes - No X Unk <br />Planning Inspecto . <br />Fire Sprinkler Required <br />Yeses No_ <br />Phone #: 4 r Z - -Cj <br />Reason <br />- <br />Approved Date: 1 <br />Existing Fire Alarm <br />Yes No 5< Unk_ <br />Historic Approved by: Date: <br />Fire Alarm Required <br />Yes No _ <br />School Mitigation Reqd? Yes _ No _ <br />Reason <br />"7 _T_� <br />Everett School Dist Mukilteo Sch ist <br />RCW 64.55 MF worksheet req'd for permit? Yes No <br /># of Net New Units: <br />Add'I RCW 64.55 docs required prior to final? Yes No <br />Calculated Scho pact Fee: <br />Architectural Approved By/Date: <br />School ct Fee Credit: <br />Structural Approved By/Date: <br />Total School Impact Fee Owed: <br />Comments: <br />OK by: <br />1 <br />Comments u ,, �, <br />CN1 - "W% <br />vjuIntake <br />Intake O bb y. Ok to routeM Hold <br />Make this a "W" Permit? Yes No <br />P BLIG WORKS, <br />FEES' <br />INTAKE: Checked By: Date: <br />Comments: AYJI.3� <br />High Hazard Sites (Dental/Medical, Animals, Mortuary, etc -Review for RPBA) <br />❑ Public Works / Sys Dev / Traffic Mit. / RPBA - NOT REQUIRED <br />Er Route for Public Works Review (bldg folder, PW Worksheet) <br />Public Works Permit -Concurrent 9evieyy (separate gre n fol er) <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 />taPW Permit Approved - PW I�i�-OIOL/ <br />CK See PW Review Worksheet <br />IEIPW Permit Not Required <br />Water Fee <br />Sewer Fee <br />Systems Dev. Fee <br />Traffic Mitigation Fee <br />Public Works Fee <br />FIRE DEPART.MEN7 <br />School Mitigation Fee <br />Update/New Sprinklers <br />Yes No Existing Bldg._ <br />Update/ New Detection -Yes <br />Z No Existi, g Bldg. <br />Update/ New Chemical <br />Yes No Existing Bldg. _ <br />Update/ New Fire,,Service <br />Yes No _ Existing Bldg. _ <br />Approved by: ate: <br />Comments: <br />L�? <br />