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• FOR OFFICE USE ONLY • PERMIT# //go 5 VO l <br /> BUILDING PLANNING <br /> Bldg/Tl/ ddniRem Size 13 43o Sr Zoning Classification r <br /> Garage Size Overlay/Agreement <br /> VALUATION ((p01 OS() Nonresidential Use <br /> Number of Stories Z Residential Use • 1'tt(,Ij 5 <br /> Occupancy Group ii. Proposed No. of Dwelling Units: - <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No : Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction 12113 needed before final? Yes_ No >C <br /> Existing Sprinkler System? Yes No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: IL— C, Date: b -/2-'i1 <br /> ExistingFire Alarm Yes No Unk Historic Approved by: Date: <br /> — — PP <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?Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: .�L /y1/8 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 'J-,_;`,: 7/7j". 0 jJsL Comments: <br /> Intake OK by: ' ,_ _�_ Intake OK by: k--e Ok to route 4_ Hold <br /> Make this a"W" Permit? Yes i No i>,/,, <br /> P BLI WORKS <br /> FEES INTAKE: Checked By:._( pate: -5�"ZDa <br /> Plan Check Fee Comments: 1 2, 3T pit) as1d f i Suup4t <br /> Building Permit IS; 4NtYisor `-- 23s� V -1(fa f-u.'aik) <br /> �2 .1 t ft t Scc . <br /> Surcharge High ites(Dental/Medical,Animals, Mortuary,e o-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit. /RPBA- NOT REQUIRED <br /> Plumbing Fee 1gC Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent, eview(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: I(u( 2OI,sO <br /> Water Fee 0 PW Permit Approved- PW (.A] <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: (27-1-) <br />