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FOR OFFICE USE ONLY PERMIT <br />' I3l9BLDIN{a `' PLANNING <br />Bldg/TI/Addn/Rem Size <br />S7 <br />Zoning Classification <br />—,,�/ <br />Garage Size <br />Overlay/Agreement <br />0 ?AV/, <br />VALUATION <br />&10 <br />Nonresidential Use <br />o/V E <br />Number of Stories <br />L <br />Residential Use <br />�I/y <br />Occupancy Group <br />Q <br />Proposed No. of Dwelling Units: <br />Occupant Load <br />Total No. of Dwelling Units: <br />l <br />Basement <br />No-. Yes _ Fin / Unfin <br />Landscape or Planning Inspection <br />needed before final? - Yes _ Noz <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 Date: <br />Existing Fire Alarm <br />Yes No Unk <br />Historic Approved by: - Date: �— <br />Fire Alarm Required <br />Yes No <br />School Mitigation Reqd7 Yes — No <br />Reason I <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'[ RCW 64.55 dots required prior to final? Yes _ No— <br />Calculated School Impact Fee: !P 4P, q 50 <br />Architectural Approved By/Date: <br />School Impact Fee Credit: NONE <br />Structural Approved By/Date: <br />Total School Impact Fee Owed: <br />Comments: �0l�C � LP: <br />�sAgc, <br />Intake OK by: <br />Comments: 4 ha, l� f9 suV✓> iS Y�� � ti©r <br />�i2ts'j is� sPeche M <br />�J <br />Intake OK by%�i Ok to route Hold — <br />Make this a "W" Permit? Yes No re I <br />`:: PUBLIC WORKS. <br />FEES ,;' <br />INTAKE: Checked By: D e: <br />Comments: <br />tlf l w a • <br />High azard Sites (Dental/Medical, An als, Mortuary, etc -Review for RPBA) <br />❑ Public Works / Sys Dev / Traffic Mit. / RPBA - NOT REQUIRED <br />X Route for Public Works Review (bldg folder, PW Worksheet) <br />❑ Public Works Permit -Concurrent, evie (separate gr en folder) <br />Plan Check Fee <br />Building PermitVg' <br />Surcharge <br />Additional Plan Check <br />Plumbing Fee <br />Mechanical Fee <br />Ping Bldg Review Fee <br />PW REVIEW: PW Reviewer: Date: <br />ITPW Permit Approved - PW 1906 -Q01 <br />WSee PW Review Worksheet <br />❑ PW Permit Not Required <br />Water Fee <br />Sewer Fee <br />Systems Dev. Fee <br />