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1110 • <br /> FOR OFFICE USE ONLY PERMIT# 0 W 1505-DOQ <br /> BUILDING PLANNING <br /> BldglTl/Addn/Rem Size Zoning Classification ��U=� 4 <br /> Garage Size Overlay/Agreement <br /> VALUATION . ,D, .Q(9C D Nonresidential Use II <br /> Number of Stories I Residential Use C A.(Ma S <br /> Occupancy Group / /ti Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: Q <br /> Basement No_ Yes Fin / nfin 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 by: Vs, Date: (Q -12,-14 <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 docs required prior to final?Y s No Calculated School Impact Fee: <br /> Architectural Approved By/Date: 2`) P School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: �U .�� JAL Comments: Are,,,,j 'cAr -5 <br /> r <br /> Intake OK by: Intake OK by: 1 Ok to route Hold <br /> Make this a"W" Permit? fes jiJo <br /> P BLI WORKS /f /zeta <br /> FEES INTAKE: Checked By: Date: �[ ` <br /> Plan Check Fee Comme ts: S q i /£jl�''y!1� t�ti/? c!0/1 E <br /> Building Permit Ph ��` l/" <br /> Surcharge igh Hazard Sites'(Dental/Nfedica,Anirr(als, Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA- NOT REQUIRED <br /> Plumbing Fee X Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee 0 PW Permit Approved- PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee ❑ PW Permit Not Required '- IPwUrt ( 536S o6ti <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 /> - <br /> Approved by: Date: <br /> Comments: \ <br />