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• FOR OFFICE USE ONLY PERMIT# C lC6.01 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn Size eis z_. .� Zoning Classification 2- <br /> Garage Size 1/s Overlay/Agreement <br /> VALUATION 61 S9 2- Nonresidential Use <br /> Number of Stories 2_ Residential Use <br /> Occupancy Group (z Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No_ Yes& mg)Unfin Landscape or Planning Inspection <br /> Type of Construction .jj 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: V(01 ZG1.vC <br /> Existing Fire Alarm Yes_ No—Unk_ Historic Approved by: Li t ik 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: Z/Z // > School Impact Fee Credit: <br /> Structural Approved By/Date: ( Total School Impact Fee Owed: <br /> Comments: 2 Q/J `/zG etis,c_ Comments: t',c,(Z t , \ <br /> SF a Viei \-� a ck <br /> Intake OK by: 'h �_�Intake OK by: 4 Ok to route j( Hold <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <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 /> Plumbi 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechar COY <br /> 0� ElPublic Works Permit-Concurrent Re ' ,(separate gree folder) <br /> Ping Blc ` PW REVIEW: PW Reviewer: Date: _ Z <br /> Water F �n _ 0 PW Permit Approved-PW <br /> Sewer F ` YJ 0 See PW Review Worksheet <br /> Systems _ PI PW Permit Not Required <br /> b � . <br /> _ <br /> Traffic Mi Public WI J 0\,V\\IV _ FIRE DEPARTMENT <br /> School Mi k• !V `-v"cc WI _ Update/New Sprinklers Yes No Existing Bldg. <br /> Update/New Detection Yes No_ Existing Bldg. <br /> g b�V i� g l I . Update/New Chemical Yes= No Existing Bldg. <br /> !� � Update/New Fire Service Yes No Existing Bldg. <br /> Approved by: Date: <br /> Comments: <br /> Z1 <br />