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• FOR OFFICE USE ONLY . PERMIT# Bi ) 1 CSC 'u-CJ <br /> BUILDING PLANNING, <br /> Bldg/TI/JRem Size potZq.I I 3s Zoning Classification 12,"`2— _ <br /> Garage Size 3 00 Overlay/Agreement <br /> VALUATION /7!SSp Nonresidential Use <br /> Number of Stories ( Residential Use <br /> Occupancy Group a 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 b Date: Li9(21 1 g <br /> Existing Fire Alarm Yes— No—Unk_ Historic Approved by: Dater <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 finals Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: c t l a/i/<& School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: <br /> 443 <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? ET:3 No <br /> P LI.,CIWORKS <br /> FEES INTAKE: Checked By � Date: <br /> Plan Check Fee Comments: �j� � ��� ��� ��nu�' <br /> Building Permit NO T (/V EWE—bFek / - i <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 --view(separate gre n fol r) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: I,. Date: 2 <br /> Water Fee ❑ PW Permit Approved-P <br /> Sewer Fee ❑ 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._ <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: � ,�'w`� <br /> NI Y�e�(/ <br />