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0 FOR OFFICE USE ONLY 0 <br />PERMIT # &j:jt( I PO <br />BU <br />WILDING <br />PLANNING. '�. <br />Bldg 1/ ddn/Rem Size <br />3 S to 12 --�► 2 <br />Zoning Classification <br />Garage Size <br />Overlay/Agreement <br />VALUATION <br />, ova `®o <br />Nonresidential Use <br />--�lcpo1,,. <br />Number of Stories <br />Residential Use <br />Occupancy Group <br />A- <br />Proposed No. of Dwelling Units: <br />Occupant Load <br />Total No. of Dwelling Units: <br />Basement <br />No X Yes _ Fin / Unfin <br />Landscape or Planning Inspection <br />needed before final? Yes No L/ <br />Type of Construction <br />V"'e7 <br />Existing Sprinkler System? <br />Yes X No _ Unk <br />Planning Inspector: —"'— <br />Fire Sprinkler Required <br />Yes X No <br />Phone #: <br />Reason <br />t i�oe A40Posl <br />Approved b : Date: <br />Existing Fire Alarm <br />Yes >�_ No Unk <br />Historic Approve by: Date: <br />Fire Alarm Required <br />IYes n No _ <br />School Mitigation Reqd? Yes No _ <br />Reason <br />'�f-c�✓iav�t-jc�y4-t <br />Everett School Dist Mukilteo S ist <br />RCW 64.55 MF worksheet req'd for permit? Yes No X <br /># of Net New Units: <br />Add'I RCW 64.55 docs required prior to final? Yes No <br />Calculated Sch mpact Fee: <br />Architectural Approved By/Date: <br />Scho pact Fee Credit: <br />Structural Approved By/Date: <br />Total School Impact Fee Owed: <br />Comments: <br />Intake OK by: <br />kv: �5t- <br />Comments: QWk c&N1% <br />����— <br />Untake OK by: Vs Ok to route Hold <br />Make this a "W" Permit? Yes No <br />'P. F3LlG WORK <br />INTAKE: Checked By: Date: 'L�1 <br />Comments- -/ / n ® <br />0)wk- 0/7 e, Conu,1/rf-&fj m/l'te , <br />High Hazard Sites (Dental/Medical, Animals, Mortuary, etc -Review for RPBA) <br />❑ Public Works / Sys Dev / Traffic Mit. / RPBA - NOT REQUIRED <br />CK Route for Public Works Review (bldg folder, PW Worksheet) <br />® Public Works Permit -Concurrent eview (separate gr n f Ider) <br />Plan Check Fee <br />Building PermitJ <br />Surcharge <br />Additional Plan Check <br />Plumbing Fee <br />Mechanical Fee <br />Ping Bldg Review Fee <br />PW REVIEW: PW Reviewer: Date: S <br />R PW Permit Approved - PW &i/ <br />® See PW Review Worksheet <br />❑ PW Permit Not Required <br />Water Fee <br />Sewer Fee <br />Systems Dev. Fee <br />Traffic Mitigation Fee <br />Public Works Fee <br />1h9RE;D PARTMENT, <br />School Mitigation Fee <br />Update/New Sprinklers <br />Yes No Existing Bldg. / <br />Update/ New Detection <br />Yes No _ Existing Bldg. <br />Update/ New Chemical <br />Yes _ No Existing Bldg. i <br />Update/ New Firg Service AYes <br />No / Existing Bldg. <br />Approved by: Date: <br />Comments: <br />\' 1Z <br />