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FOR OFFICE USE ONLY • PERMIT # 16"-D <br />BUILDING <br />PLANNING <br />g/TI/Addn/Rem Size <br />S Ur <br />Zoning Classification <br />Garage Size <br />Overlay/Agreement <br />VALUATION 1f <br />n <br />50, OCONonresidential <br />Use <br />Number of Stories <br />LSZ <br />Residential Use <br />Occupancy Group <br />Proposed No. of Dwelling Units: <br />Occupant Load <br />q_ <br />[ <br />Total No. of Dwelling Units: <br />Basement <br />No Yes Fin / Unfin <br />Landscape or Planning Inspection <br />needed before final? Yes ') No _ <br />Type of Construction <br />LN <br />Existing Sprinkler System? <br />Yes _� No _ Unk_ <br />Planning Inspector: <br />Fire Sprinkler Required <br />Yes Z6 No <br />Phone #: �Z"ZS1�1Z?s <br />Reason <br />Approved by: 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: <br />Add'I RCW 64.55 docs required prior to final? Yes _ No <br />Calculated School Impact Fee: <br />Architectural Approved By/Date: <br />School Impact Fee Credit: y' <br />Structural Approved By/Date: — <br />Total School Impact Fee Owed: <br />Comments: <br />Intake OK by: 3 S% l <br />Comments: <br />Intake OK by: Ok to route _ Hold <br />Make this a " ermit? Yes No <br />PAJBLIC WORKS <br />FEES <br />INTAKE: Checked B Date: <br />Comments: N � _"��/ /u� Ao <br />( ! q2y ls— w: � A1- Ami �flo b�, f-w <br />High Hazard Sites (Dental/Medical, Animals, Mortuary, etc -Review for RPBA) <br />Public Works / Sys Dev / Traffic Mit. / RPBA - NOT REQUIRED <br />fi�tt! Route for Public Works Review (bldg folder, PW Worksheet) <br />Public Works Permit -Concurrent Review (separate gree 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: <br />Permit Approved - PW <br />❑ See Review Worksheet SF.E OAS <br />❑ PW Perm' t Required <br />Water Fee <br />Sewer Fee <br />Systems Dev. Fee <br />Traffic Mitigation Fee <br />Public Works Fee <br />FIRE DEPARTMENT <br />School Mitigation Fee <br />Update/New Sprinklers <br />Yes No Existin dg. <br />Update/ New Detection <br />Yes No , -Existing Bldg._ <br />Update/ New Chemical <br />Yes o Existing Bldg. <br />Update/ New Fire Service <br />es No — Existing Bldg. — <br />Approved by: Date: <br />. ��n eat �t jj <br />Comments �Iff <br />