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FOR OFFICE USE ONLY PERMIT# 3fl \P00 <br /> BUILDING PLANNING <br /> Bldg/TI/AddnLem ize 4e,qG Zoning Classification 12-9'' <br /> Garage Size Overlay/Agreement --'� - <br /> VALUATION 63 i 6;. Nonresidential Use �----- <br /> Number of Stories Residential Use S <br /> Occupancy Group Q Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No_ Yes k Unfin Landscape or Planning Inspection <br /> Type of Construction 'fig needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: -1 <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approved •,d►�- Date: 5 * I F <br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No_ <br /> Reason Everett School Dist Mukilteo -•• Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No_ #of Net New Units: <br /> Add!RCW 64.55 docs required prior to final?Yes_ No_ Calculated Scho• pact Fee: <br /> Architectural Approved By/Date: $/Z/I 8 School I. •act Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Zo/5" /2 c- Li[� c c- Comments: ( n :l t.-'U`� C SF R. <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes No <br /> PUBLIC WORKS. <br /> FEEB,, INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: p k44' "Building Permit IV OY !V v I W <br /> SurchargeHigh Hazard Sites(Dental/Medical,Animals, Mortuary,etc-Rev <br /> r RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA- NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurre t Review gre n f Ider) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer Date: <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee =i PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT/ <br /> School Mitigation Fee Update/New Sprinklers Yes_ No 7 xisting Bldg. <br /> Update/New Detection Yes_ No Existing Bldg. <br /> Update/New Chemical Yes_ No 7 isting Bldg. <br /> Update/New Fir Servi e Yes_ No Existing Bldg. / <br /> Approved by: Date: S l r'1t/ <br /> Comments: <br />