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• FOR OFFICE USE ONLY 0 PERMIT# <A$oq--0 <br /> BUILDING PLANNING .: <br /> Bldg/TI/Addn/Rem Size Zoning Classification \ <br /> Garage Size Overlay/Agreement <br /> VALUATION .t.000 Nonresidential Use <br /> Number of Stories Z Residential Use (e __. <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No Yes F <br /> in /� Landscape or Planning Inspection <br /> Type of Construction g needed before final? Yes_ No)( <br /> Existing Sprinkler System? Yes_ No Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved b Date: V-ci(2c' <br /> Existing Fire Alarm Yes— No—Unk_ Historic Approved by: IJ(k Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No X <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes No #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: 1/ 8/1//$ School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Z p/S /R.c._ Comments: <br /> Intake OK by: di+ Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? es No_ <br /> ; P�ORKS <br /> FEES INTAKE: Checked By: Date: t_ <br /> Plan Check Fee Comments: 140 �,, y Sa <br /> Building Permit �`�(J <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 0 Public Works Permit-Concurrent Reeviee((separate gre n fo 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 Igt PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT, <br /> School Mitigation Fee Update/New Sprinklers Yes_ No 7 Existing Bldg. / <br /> Update/New Detection Yes_ No 7'Existing Bldg. V. <br /> Update/New Chemical Yes_ No r7Existing Bldg. 7 <br /> Update/New Fir Se ice Yes_ No fisting Bldg. <br /> Approved by: Date: $—t i3f—1 <br /> Comments: I <br /> ;3eg- wi Q-S 4-- Yes .32 S\\.‘2_e <br />