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1110 <br /> FOR OFFICE USE ONLY • PERMIT#e t 0( -OOP- <br /> BUILDING PLANNING <br /> / <br /> �i7 Tl/Addn/Rem Size Zi8(' S,f Zoning Classification jZ,Z <br /> a Garge Size S,h Overlay/Agreement <br /> VALUATION 0:40) ( (p(„ Nonresidential Use Number of Stories Z Residential Use �'k4.i ' , �' u)0 k 9 ) <br /> Occupancy Group la/4. Proposed No. of Dwelling Units: I A'OIL--) <br /> Occupant Load Total No. of Dwelling Units: V gC-V— o44 <br /> Basement No y Yes_ Fin / Unfin Landscape or Planning Inspection , <br /> Type of Construction 3 needed before final? Yes No" <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: Y...\X Date: 16 1 <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 School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes No )( #of Net New Units: <br /> Add'I RCW 64.55 does required prior to final?Yes No X. Calculated School Impact Fee: 7 <br /> Architectural Approved By/Date: ail" q /zs/(S School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: M ) -LA))4 ci zea002ie <br /> Intake OK by: itf-' . Intake OK by: 11-4 ( out \. Hold--- --/ <br /> Make this a"W" Permit? Yes t No '` <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: , /5 Date: 6/5 <br /> Plan Check Fee Comments. <br /> Building Permit <br /> Surcharge igh zard Sites(Dental/Medical,Animals,Mortuary, etc-Review for RPBA) <br /> Additional Plan Check ❑ Pu 'ic Works/Sys Dev/Traffic Mit./RPBA- NOT REQUIRED <br /> Plumbing Fee ❑ Rou e for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ P lic Works Permit-Concurrent Review(separate green f Ide) <br /> Ping Bldg Review Fee REVIEW: PW Reviewer: Date: /1 d 3 <br /> Water Fee ❑ PW Permit Approved- PW <br /> Sewer Fee 0 See PW Review Worksheet - <br /> Systems Dev. Fee 0 PW 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 />