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• FOR OFFICE USE ONLY • PERMIT#B\k `0 ---( t l <br /> BUILDING PLANNING <br /> Bld( •dn/Rem Size ,,)( i$1/h t- Zoning Classification - 1 <br /> Garage Size Overlay/Agreement <br /> VALUATION 4 ‘i; a Nonresidential Use C ` .1 ' SPU <br /> Number of Stories / -+� Residential Use <br /> Occupancy Group frj —✓/23,..,_, Proposed No. of Dwelling Units: --- <br /> Occupant Load /4 /� �,dt /q� Total No. of Dwelling Units: <br /> Basement No= Yes_X in / Unfin Landscape or Planning Inspection <br /> Type of Construction V needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No_Unk i Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: - <br /> Reason 0Ot. UllLI z�4c. Approved bye:J Date: 1,0/ I.,- - <br /> Existing Fire Alarm Yes No_Unk' Historic Approved by: Date: / <br /> Fire Alarm Required Yes_ No 2S' School Mitigation Reqd? Yes_ No <br /> Reason 4GT UytL- ?L$ ' Everett School Dist Mukilteo Scho st <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No--I #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes— No Calculated School I ct Fee: <br /> Architectural Approved By/Date: j ' / School Im ee Credit: <br /> Structural Approved By/Date: Total chool Impact Fee Owed: <br /> Comments: Comments: po t_, m Ue_ <br /> ,UX i ET690— CAO <br /> 1 v/4/1 ����` OR-tb route Hold '1— <br /> Intake OK by: � v' ` / Intake O — <br /> Make this a"W"Permit? Yes_ No_ <br /> PUBLIC WORKS <br /> FEES ;.:. <br /> INTAKE: Checked By: K Date:io_¢'/7 <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet Work I i s 1 I e <br /> Systems Dev. Fee ET PW Permit Not Required ChuvCA <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes No 47 Existing Bldg. / <br /> Update/New Detection Yes No / Existing Bldg. <br /> Update/New Chemical Yes No /Existing Bldg. <br /> Update/New Fireservice Yes_ No Existing Bldg._ <br /> Approved by: V`�'"5`"°'- Date: l O rn30- I, <br /> Comments: <br />