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FOR OFFICE USE ONLY • PERMIT# `2'k )0. "01 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification 3 <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use .C5ECA C.�,,/ �5�( <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No_ Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No <br /> Existing Sprinkler System? Yes No Unk Planning Inspector.--- <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved ODe Date: �( (S <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 Muk' School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No_ #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No Calculated Sc Impact Fee: <br /> Architectural Approved By/Date: 1.2 <br /> \ / School act Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comment : <br /> Ise ov <br /> FFew.. a s.... e+�'e rieemxT ' kk) <br /> 'A � <br /> IAL <br /> id /1i,J ° I Q� <br /> Intake OK by: A � I Intake OK y� (AAA_ O ou e _ I H <br /> Make this a"W" rmit? Yes_ No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental ' I, nimals, ': uary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys D /Traffi it./RPBA-NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works '- iew(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-►.ncurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: P A 'eviewer: Date: <br /> Water Fee 0 PW Pere Approved-PW <br /> Sewer Fee ❑ Se; •W Review Worksheet <br /> Systems Dev. Fee • 'W Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes_ No_ Existing Bldg._ <br /> Update/New Detection Yes_ No_ Existing Bldg._ <br /> Update/New Chemical Yes_ No_ Existing Bldg. <br /> Update/New Fire Service Yes_ No_ Existing Bldg. <br /> Approved by: Date: <br /> Comments: <br />