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FOR OFFICE USE ONLY PERMIT # (! �40S --P3 <br />C <br />BUILDING <br />Id I/Addn/Rem Size <br />Garage Size <br />VALUATION <br />7Z <br />Number of Stories <br />2- <br />Occupancy Group <br />Occupant Load <br />Basement <br />No Yes Fin / Unfin <br />Type of Construction <br />Existing Sprinkler System? <br />Yes No Unk <br />Fire Sprinkler Required <br />Yes No <br />Reason <br />Existing Fire Alarm <br />Yes No _ Unk_ <br />Fire Alarm Required <br />Yes = No <br />Reason <br />RCW 64.55 MF worksheet req'd for permit? Yes No <br />Add'I RCW 64.55 docs required prior to final? Yes No <br />Architectural Approved: Date: 2 l <br />Structural Approved: Date: <br />Comments: 201, - <br />Intake'OK by:<J�: Date:E(In 1 <br />FEES <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 />ater Fee <br />Sewer Fee <br />Systems Dev. Fee <br />Traffic Mitigation Fee <br />Public Works Fee ' <br />,� r <br />School Mitigation Fee <br />PLANNING <br />Zoning Classification <br />2 L <br />Overlay/Agreement <br />Nonresidential Use <br />Residential Use <br />Proposed No. of Dwelling Units: <br />Total No. of Dwelling Units: <br />Landscape or Planning Inspection <br />needed before final? Yes No <br />Planning Inspector: <br />Phone #: <br />Approved by: Date: LA 1l 1 <br />Historic Approved by: -`--^ Date: <br />School Mitigation Reqd? Yes 1 - No <br />Everett School Dist Mukilteo School Dist <br /># of Net New Units: C�4-0— <br />Calculated School Impact Fee: <br />School Impact Fee Credit: <br />Total School Impact Fee Owed: <br />Comments: M\Q .� <br />Intake OK W�sy <br />P BLIG WORKS <br />INTAKE: Checked By: Date: <br />Comments: 1wRI 5 Qlc a /'wl�w- <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 green folder) <br />PW REVIEW: PW Reviewer:.0 &-:37 Date: 11131 <br />rKPW Permit Approved - PW,�q - Ol-n <br />�I See PW Review Worksheet <br />❑ PW Permit Not Required <br />FIRE <br />DEPARTMENT <br />Update/New Sprinklers <br />Yes _ <br />No Existing Bldg._ <br />Update/ New Detection <br />Yes <br />No _� Existing Bldg. _ <br />Update/ New Chemical <br />_ <br />Yes <br />No Existing Bldg. _ <br />Update/ New Fire Servi e <br />Yes <br />No Existing Bldg. _ <br />Approved by: <br />Date: iZ-'f -17 <br />Comments: <br />OK — U <br />