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. FOR OFFICE USE ONLY 4D PERMIT # ry 190 -7 40 <br />BUILDING <br />PLANNING <br />Bldg/TI/Addn/Rem Size <br />Zoning Classification <br />Garage Size <br />2. (lam <br />Overlay/Agreement <br />VALUATION <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 Fin / Unfin <br />Landscape or Planning Inspection <br />needed before final? Yes No <br />Type of Construction <br />Existing Sprinkler System? <br />Yes No Unk <br />Planning Inspector: <br />Fire Sprinkler Required <br />Yes _ No— <br />Phone #: <br />Reason <br />Approved b Date:LOIY— <br />Existing Fire Alarm <br />Yes No Unk <br />Historic Approved by: Date: <br />Fire Alarm Required <br />Yes No <br />School Mitigation Reqd? Yes _ No <br />Reason <br />Everett School Dist Mukilteo School Dist <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 School Impact Fee: <br />Architectural Approved By/Date: v / / - <br />School Impact Fee Credit: <br />Structural Approved By/Date: <br />Total School Impact Fee Owed: <br />Comments: 2 <br />Intake OK by: <br />Comments: 45X� C ` yA01 WW__iX lot <br />c ee oca e.8, 0 ,4 CA 4&t S' se4.CIA N-0-k <br />Intake OK by:� ok to route Hold <br />Make this a "W" Permit? Yes No <br />PU LIC WORKS <br />FEES <br />INTAKE: Checked By: ,�j, Date: ili <br />Comments: A �b �y�o siv <br />High Hazard Sites (Dental/Medical, Animals, Mortuary, etc -Review for RPBA) <br />Public Works / Sys Dev / Traffic Mit. / RPBA - NOT REQUIRED <br />❑ Route for Public Works Review (bldg folder, PW Worksheet) <br />❑ Public Works Permit -Concurrent Review (separate gre 2n f Ider) <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: 3 Z4i <br />❑ PW Permit Approved - PW <br />❑ See PW Review Worksheet <br />PW Permit Not Required <br />Water Fee <br />Sewer Fee <br />Systems Dev. Fee <br />Public Works Fee <br />FIRE DEPARTMENT <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. _ <br />Update/ New Fire Service <br />Yes No Existing Bldg._ <br />Approved by: Date: <br />Comments: <br />