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• FOR OFFICE USE ONLY • PERMIT# l 069-0 <br /> BUILDING PLANNING <br /> Bldgri a dd 'ern Size 111-4i .rf Zoning Classification F�—Z <br /> Garage Size Overlay/Agreement <br /> VALUATION (34 2 Z4 Nonresidential Use <br /> Number of Stories 2 Residential Use /W S �— <br /> Occupancy Group 12, Proposed No. of Dwelling Units: ---- <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No XYes— 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: h. Date: � , <br /> Existing Fire Alarm Yes No_Unk_ Historic Approved by: 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'I RCW 64.55 docs required prior to final?Yes,/ No Calculated School Impact Fee: <br /> Architectural Approved By/Date: j/IN School Impact Fee Credit: <br /> Structural Approved By/Date: ` Total School Impact Fee Owed: <br /> Comments: ace i r //Z_ ' (,t�.S�`� Comments: <br /> Intake OK by: Intake OK by: F-.* Ok to route Hold _ <br /> Make this a"W" Permit? Yes_ NO( <br /> UBLI <br /> WORKS <br /> PEES ; 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 111 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: 05 Date: J 15 <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee ® See PW Review Worksheet <br /> Systems Dev. Fee a, PW Permit Not Required <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 Fire Service Yes_ No_ Existing Bldg._ <br /> Approved by: Date: <br /> Comments: „ /� <br />