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• FOR OFFICE USE ONLY • PERMIT# CW 1 b O t -ob 5.-- <br /> BUILDING Q PLANNING <br /> e Bldg/TI dd m)Size 60 S/C/U2-7 S Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION S 77 Nonresidential Use <br /> Number of Stories I Residential Use F V- <br /> • <br /> Occupancy Group /Z/Lr 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: '---------' , Date: (i (Z /Zu\Yr <br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved by: A1 A Date: <br /> / <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes No V <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/X//3 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: pis' //2G f.C)S,,CL Comments: . ,\.e QG rN. \tc..VA \\' Yi`e- fe"cvo,\ <br /> o c y C AA\v\c\ AQ()Q\,\,Can i S 1 t\. qY �f QM d <br /> Intake OK by: Intake OK by: C --� Ok to route Hold <br /> Make this a "W" Permit? Yes No <br /> P up,WORKS <br /> FEES INTAKE: Checked By: ' Date: I2 1�i3 <br /> �Plan Check Fee Comments: 10 e f ,/f/� I * <br /> Building Permit L� ( T/1�J <br /> Surcharge High Hazard Site (Dental/Medical,Animals,Mortuary, etc-Review for RPBA)Hi <br /> Additional Plan Check 1i 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 Review(separate green fol er) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: ' Date: ' 29/ <br /> Water Fee ❑ PW Permit Approved- PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee raPW 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: In ,U <br />