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• FOR OFFICE USE ONLY • PERMIT#U 1Q OI bbZ <br /> BUILDING PLANNING <br /> BldglTl/Addn/Rem Size '2,l 01 exisrb Zoning Classification 2�Z <br /> Garage Size hi/A Overlay/Agreement Q coal (7-r644 4\ \O4 L 0V¢A) <br /> VALUATION 10?I ,Ssl Nonresidential Use J <br /> Number of Stories 2... Residential Use S <br /> Occupancy Group 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 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: 4.141a Date: 46.-15.--IC‘ <br /> Existing Fire Alarm Yes— No—Unk_ Historic Approved by: Norge., Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes o <br /> Reason Everett School Dist Mukilteo chool 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: C4P 8// I,8 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: L <br /> w4.4ibe clft� <br /> eFs {arr►w1r. cws b eveia+e• <br /> tfiutrei <br /> Intake OK by: v N Intake OK by: t! Ok to route )C Hold <br /> Make this a"W" Permit? Yes_ No n( <br /> R, BLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: � <br /> Ivv <br /> Building Permit <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 ❑ Public Works Permit-Concurrent evie (separate gre n f er) <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: at , <br />