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Garage Size <br />VALUATION <br />Number of Stories <br />Occupancy Group <br />Occupant Load <br />Basement <br />Tvpe of Construction <br />FOR OFFICE USE ONLY 0 PERMIT # o "03 <br />PLAIVNIIVG <br />...................... ............... _. . n <br />Zoning Classification <br />Overlay/Agreement <br />No-:X Yes _ Fin / Unfin <br />Yes No Unk <br />Yes No <br />Nonresidential Use <br />Residential Use I AW5;SN <br />Proposed No, of Dwelling Units: 171-- <br />Total No. of Dwelling Units: <br />Landscape or Planning Inspection <br />needed before final? Yes _ No <br />Planning Inspector: <br />Phone #: <br />Reason <br />Approved Date: 5 I f 0 <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 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'I RCW 64.55 dots required prior to final? Yes No <br />Calculated School Impact Fee: <br />Architectural Approved By/Date: S Z 95 <br />School Impact Fee Credit: <br />Structural Approved By/Date: <br />Total School Impact Fee Owed: <br />Comments: xc <br />Intake OK by. <br />Comments:- f/ is I-e GILf'. <br />p'ToY D l oSp Oy . <br />b Ok to route V Hold <br />Intake K T 'K� <br />O <br />i\ma thic a "W" Parmif? Yac Mn O <br />P IPLIC WORKS. <br />FEES:. <br />INTAKE: Checked By: Date: <br />Comments: 10 S fiIyallll�- <br />High Hazard Sites (Dental/Medical, Animals, Mortuary, etc -Review for RPBA) <br />❑ Public Works / Sys Dev / Traffic Mit. / RPBA - NOT REQUIRED <br />IN Route for Public Works Review (bldg folder, PW Worksheet) <br />❑ Public Works Permit-Concurren Review (separate green 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: <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 />