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FOR OFFICE USE ONLY PERMIT# ?)6J�'o'It6 <br /> BUILDING PLANNING <br /> BldglTl/Addn/Rem Size Zoning Classification cVZ <br /> Garage Size 6D2 Sj Overlay/Agreement J / 1 ‘I'Ant- <br /> VALUATION iil C_l 2. Nonresidential Use <br /> Number of Stories l Residential Use _4Q a4 Sf— <br /> Occupancy Group vl 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 x <br /> Existing Sprinkler System? Yes No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#:Reason Approved by: .,. 2 1�Date: -3' ')a O <br /> lExisting Fire Alarm Yes_ No_Unk_ Historic Approved . r,� Date:,`� a I G <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes No 4 <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: 3/. //n School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Zc`s- /P Comments: <br /> Intake OK by:AIE Intake OK by: %1"1.- Ok to route Hold K <br /> Make this a"W" Permit? Yes_ ( o iO <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: 175( Date: rj/1.0/8 <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 /> Plumbing Fee Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent Review(separate green f [der) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: - <br /> Water Fee _ 0 PW Permit Approved- PW <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee p PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes No DEPARTMENT/ <br /> Bldg._ <br /> Update/New Detection Yes No isting Bldg. <br /> Update/New Chemical Yes_ No xisting Bldg. <br /> Update/New Fire ervice Yes_ No Existing Bldg. <br /> Approved by: L � Date: `H( /7 <br /> Comments: <br />