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• FOR OFFICE USE ONLY 0 PERMIT# n c lQ-O <br /> BUILDING PLANNING <br /> BldglTl`'lAdddem Size - Cj S-- Zoning Classification f` —S L_ <br /> Garage Size Overlay/Agreement <br /> VALUATIONcr Nonresidential Use <br /> Number of Stories I Residential Use S=S <br /> Occupancy Group 72. Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No X Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction R needed before final? Yes_ No 1,------ <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: r <br /> Reason Approved Date: 12. /(lI <br /> Existing Fire Alarm Yes_ No_Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes N <br /> Reason Everett School Dist Mu • o School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes No #of Net New Units: <br /> Add't RCW 64.55 docs required prior to final? <br /> Yes/ No Calculated S of Impact Fee: <br /> c Jt Architectural Approved By/Date: t 7/ram// y- Scho mpact Fee Credit: <br /> Structural Approved By/Date: otal School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: Intake OK by* Ok to route 1/ Hold <br /> Make this a "W" Permit? Yes No , <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: `B Date: 6-2 6- 1 7 <br /> Plan Check Fee Comments: Q (n �l <br /> Budding Permit a"" �W I� `� "41 I l)� <br /> Surcharge High Hazard Sites(Dental/Medical,Animals, Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA- NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee El Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee •W REVIEW: PW Reviewer: Date <br /> G ' <br /> Water Fee al 'W Permit Approved- PW 11 D 4 I <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee ,12 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 />