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0 FOR OFFICE USE ONLY • PERMIT# TA(oD(e-O2 <br /> BUILDING PLANNING <br /> Bldg/TI/Add /Rem Size 1?Co k S F Zoning Classification B-s <br /> Garage Size Overlay/Agreement <br /> VALUATION SSE cks-t Nonresidential Use <br /> Number of Stories 5 Residential Use <br /> Occupancy Group (2--2/A'2' Proposed No.of Dwelling Units: <br /> Occupant Load nJA Total No.of Dwelling Units: <br /> Basement No_ YesX Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction n. needed before final? Yes_ No— <br /> Existing Sprinkler System? Yes_ No>41 Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes x No_ Phone#: <br /> Reason IVfA 13 Approve l jr".'4 Date: I21'1 <br /> Existing Fire Alarm Yes_ No k Unk_ Historic Approved by: Date: <br /> 1 <br /> Fire Alarm Required Yes X 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 Xl No_ #of Net New Units: <br /> Add!RCW 64.55 docs required prior to final?Yes_ No_z Calculated School Impact Fee: <br /> Architectural Approved: outs kk kLe1 Date: til $ 11, School Impact Fee Credit: <br /> 4 <br /> Structural Approved: Date:2 .t' \av Total School Impact Fee Owed: <br /> Comments: Comments:To ) <br /> (nt7 c 1.wul�- i?hta Ul. <br /> C&v,c1Qn- GNI.H <br /> 0c; ht .>✓¢-rnt7 r - �y,'; L"l• U ( . <br /> Jtil Intake OK by: <br /> Intake OK by: Date: <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: ��j� <br /> Building Permit re ' t `,-p-611") <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 ❑ 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 <br /> Systems Dev. Fee ❑ 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 />