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0 FOR OFFICE USE ONLY <br />0 PERMIT # CI A " 00q <br />BUILDING <br />PLANNING <br />BldgM/Addnj�e <br />Zoning Classification <br />91- q <br />Garage Size <br />Overlay/Agreement <br />nn <br />c rT <br />VALUATION <br />Nonresidential Use <br />Number of Stories <br />Residential Use <br />Occupancy Group <br />Proposed No. of Dwelling Units: 2 <br />Occupant Load <br />Total No. of Dwelling Units: <br />Basement <br />No _ Yes in 1 Unfin <br />Landscape or Planning Inspection <br />needed before final? Yes No <br />Type of Construction <br />5 <br />Existing Sprinkler System? <br />Yes _ No _ Unk <br />Planning Inspector: <br />Fire Sprinkler Required <br />Yes No <br />Phone #: ZS' Z57 i2%,5- <br />Reason <br />Approved by:kj Date: <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 <br />Everett School Dist Mukilteo School Dist <br />RCW 64.55 MF worksheet req'd for permit? Yes No <br /># of Net New Units: 2 ev,tki3 <br />Add'I RCW 64.55 docs required prior to final? Yes _ No <br />Calculated School Impact Fee: 3Z3b <br />Architectural Approved By/Date: ( <br />School Impact Fee Credit: <br />Structural Approved By/Date: ff l$ <br />J ►';' <br />Total School Impact Fee Owed: <br />Comments: 2 C� /1"- 12L iit of c AEc_ <br />Intake OK by: <br />Comments: (� <br />Intake OK by: F-- Ok to route Hold <br />Make this a "W" Permit? Yes No I)< <br />PUBLIC WORKS <br />FEES <br />INTAKE: Checked By: Date: 5 <br />Comments: R,&'ir- Qyf j� <br />High Hazard Sites (Dental/Medical, Animals, Mortuary, etc -Review for RPBA) <br />❑ Public Works / Sys Dev / Traffic Mit. / RPBA - NOT REQUIRED <br />�4 Route for Public Works Review (bldg folder, PW Worksheet) <br />❑ Public Works Permit -Concurrent 4eview (separate green folder) <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: 6—�$ <br />0 PW Permit Approved - PW IRO 6 -0?r?' <br />10 See PW Review Worksheet <br />❑ PW Permit Not Required <br />Water Fee <br />Sewer Fee <br />Systems Dev. Fee <br />