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• (c. <br /> FOR OFFICE USE ONLY O PERMIT# 16 Lc(O-'OL-f <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Ei Size (,-`'�0® S� Zoning Classification <br /> � <br /> Garage Size :�r✓�� Overlay/Agreement C �„�r <br /> VALUATION A1/0.,0• 00 Nonresidential Use <br /> Number of Stories 3 Residential Use <br /> Occupancy Group 4 7- Proposed No. of Dwelling Units: --- <br /> Occupant Load /0 Total No. of Dwelling Units: <br /> Basement No X. ' _.*Ii ., Landscape or Planning Inspection <br /> Type of Construction V,3 needed before final? Yes_ No l( <br /> Existing Sprinkler System? Yes No iC Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No )` Phone#: <br /> Reason Approved by: IL,1 C\, Date: (. - <br /> Existing Fire Alarm Yes No )c Unk Historic Approved by: d Date: — <br /> Fire Alarm Required Yes_ No X 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: q <br /> ,r <br /> Add'I RCW 64.55 docs required p or final?Yes Nok Calculated School Impact Fee: / <br /> Architectural Approved By/Date School Impact Fee Credit: <br /> Structural Approved By/Date:(-- -C<.- �-, Total School Impact Fee Owed: <br /> Comments: Comments: '/a ---C1°I <br /> Intake OK by: erm 1/ZU1 1 4S Intake OK by: Ok to route Hold _ <br /> Make this a"W' it? Yes( No <br /> P WORKS <br /> FEES INTAKE: Checked By: " Date: �1 <br /> pid _/___& <br /> Plan Check Fee Comments: * SAD , ! &/?Jr Q i 'q i <br /> Building Permit r `� <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 gre 'n foI er) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:{. 4- Date: 20 <br /> Water Fee 0 PW Permit Approved - PW <br /> Sewer Fee ❑ See PW Review Worksheet <br /> tt-v <br /> Systems Dev. Fee I ILPW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes No 7 Existing Bldg. // <br /> Update/New Detection Yes No /Existing Bldg. j <br /> Update/New Chemical Yes_ No 7 xisting Bldg._f, <br /> Update/New Fire,Servicp Yes_ No Existing Bldg. / <br /> Approved by: /, Date: �- —I i <br /> Comments: <br />