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FOR OFFICE USE ONLY PERMIT # <br />B.UIL1311NGPLANNING <br />BIdgITI/Addn/ a ize S, <br />Zoning Classification - Z P <br />Garage Size <br />Overlay/Agreement <br />- <br />VALUATION <br />,� <br />Nonresidential Use <br />Number of Stories <br />2- <br />Residential Use <br />5 R/tX- <br />Occupancy Group <br />Proposed No. of Dwelling Units: 2— <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 V <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 Approve y: Date: I <br />Existing Fire Alarm Yes _ No _ Unk Historic Approved by: <br />Fire Alarm Required Yes No School Mitigation Reqd? Yes — No _ v UAA • 00 4G <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 />Add1 RCW 64.55 dots required prior to final? Yes No Calculated School Impact Fee: <br />Architectural Approved By/Date: School Impact Fee Credit: <br />Structural Approved By/Date: Total School Impact Fee Owed: <br />Comments: 20/.,5— /AgG MiS�C. Comments: gT-A26 <br />G DNv,A7 4,1W rC-004 7-0P116 <br />Intake OK by:4 Intake OK by: Ok to route Hold <br />ftAnI-o fhie n "W" Pormif? Yoc &n <br />_. PBLIC WORKS <br />TEES '' _. , •: <br />INTAKE: Checked By: Date: 2 <br />Comments: yt� /� ��x 401 <br />t?VJ.0fA <br />High Hazard Sites (De Animals, Mortuary, etc -Review for RPBA) <br />❑ Public Works / Sys Dev / Traffic Mit. / RPBA - NOT REQUIRED <br />MRoute for Public Works Review (bldg folder, PW Worksheet) <br />Public Works Permit -Concurrent Review (separate green folder) <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Surcharge <br />Additional Plan Check <br />Plumbing Fee <br />Mechanical Fee <br />Ping Bldg Review Fee <br />PW REVIEW: PW ReviewerT #J Date: 8123`d <br />®PW Permit Approved - PW / 8o 8 - oS1 <br />® See PW Review Worksheet <br />❑ PW Permit Not Required <br />Water Fee <br />Sewer Fee <br />Systems Dev. Fee <br />School Mitigation Fee <br />Update/New Sprinklers <br />Yes _ No,*- Existin Bldg._ <br />Update/ New Detection <br />Yes No E ' ting Bldg. _ <br />Update/ New Chemical <br />a No xistin Bldg. _ <br />Update/ New Fire S ce <br />Ye o is ing Bldg. <br />Comma <br />// 7il y <br />