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Ili FOR OFFICE USE ONLY i PERMIT#ic DL - 02.7‘ <br /> BUILDING PLANNING <br /> Bldg/Tl/Addn/Rem Size Zoning Classification lc(- <br /> Garage Size D 1< 6 z f Overlay/Agreement <br /> VALUATION IS-I 62._ Nonresidential Use <br /> Number of Stories 1 Residential Use S'E <br /> Occupancy Group (i 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 Ttg 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 --__ Date: . 5:1(j c /2Q :-::. <br /> Existing Fire Alarm Yes No_Unk_ Historic Approved by: Date: <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: P -/////71 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Z D/S /(Zc Comments: <br /> Intake OK by: Intake OK by: CSZP Ok to route / Hold <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: ,E.' Date: •-,2—i 014- <br /> Plan Check Fee Comments: 1 <br /> 4/ 1c- 631-sr -n© nu' cznc rizs <br /> Building Permit `-'0•t- i sCe-r- 4(ION* <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check YSI 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 f evview(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: 1f Date:_*`-12-7,0q- <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee PI 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 /> ZJ Z <br />