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• FOR OFFICE USE ONLY • PERMIT# W40.(0-0 t '2, <br /> 2— <br /> BUILDING PLANNING <br /> Bldg/TI/Addn Size ��(/ S"7"(C7 Zoning Classificationf&-2L. <br /> Garage Size Overlay/Agreement <br /> VALUATION f S00 Nonresidential Use <br /> Number of Stories I Residential Use Atti �— <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No YesX n, Unfin Landscape or Planning Inspection <br /> Type of Construction a.ls. 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 , (\ Date: (9-11- 4, <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes No ic <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: d II ' 7//a/i8 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Z 0/s /'4q C It niS C Comments: o 4 o,,a j <br /> L-,^ate r� - <br /> Intake OK by: � Intake OK by: Ok to route _ Hold <br /> Make this a"W" Permit? Yes No ) <br /> P BLI WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: I 1 p <br /> Building Permit t r Pt S oT e - <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 eview(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: Ozo,/ 3 <br /> Water Fee 0 PW Permit Approved - PW <br /> Sewer Fee 0 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.7 <br /> Update/New Detection Yes No ,7 Existing Bldg. 7 <br /> Update/New Chemical Yes No /7,Existing Bldg. / <br /> Update/New Fire Service Yes No / Existing Bldg. <br /> Approved by: of... Date: r2 1 j—(,) <br /> Comments: <br /> 21�� <br />