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FOR OFFICE USE ONLY PERMIT #jj� <br />BUILDING .`` <br />��� <br />_ ` �' PLANMNI <br />Bldg/TI/Addn/Rem Size <br />3, / so <br />Zoning Classification <br />Garage Size <br />A41Z,4 <br />Overlay/Agreement <br />VALUATION <br />4JOq,060, 00 <br />Nonresidential Use <br />Number of Stories <br />`3 <br />Residential Use <br />Occupancy Group <br />E —Z— <br />Proposed No. of Dwelling Units: <br />Occupant Load <br />13 <br />Total No. of Dwelling Units: <br />Basement <br />No k Yes _ Fin / Unfin <br />Landscape or Planning Inspection <br />needed before final? Yes _ No — <br />Type of Construction <br />a M <br />Existing Sprinkler System? <br />Yes A No x Unk <br />Planning Inspector: <br />Fire Sprinkler Required <br />Yes No K <br />Phone #: <br />Reason <br />Approved by: Date: --{ <br />Existing Fire Alarm <br />Y s AA <br />o Unkk <br />Historic Approved by: Date: <br />Fire Alarm Required <br />es�o <br />School Mitigation Reqd? Yes No-y— <br />Reason <br />Everett School Dist Mukilteo School Dist <br />RCW 64.55 MF worksheet req'd for permit? Yes _ <br />No <br /># of Net New Units: <br />Add'] RCW 64.55 docs required prior to final? Yes <br />No <br />Calculated School Impact Fee: <br />Architectural Approved By/Date: <br />School Impact Fee Credit: <br />Structural Approved By/Date: <br />a% d 3 <br />!d <br />Total School Impact Fee Owed: <br />Comments: <br />Intake OK by: <br />l�' <br />Comments: r re- qwr +0 �S� <br />J� ,�ev�(, a JJ� toe G� O o <br />Intake OK by: Ok to route Hold <br />Make this a "W' Permit? <br />Yes No <br />PUBLIC WORKS <br />INTAKE: Checked By: Date: <br />Comments: <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 fold ) <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 />❑ PW Permit Approved - PW <br />❑ See PW Review Worksheet <br />PW Permit Not Required <br />Water Fee <br />Sewer Fee <br />Systems Dev. Fee <br />