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FOR OFFICE USE ONLY PERMIT# kIO -0(5 <br /> BUILDING <br /> PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No_ Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No <br /> Existing Sprinkler System? Yes .4 No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes )0 No Phone#: <br /> Reason NFP A - t3 Approved by: Date: <br /> Existing Fire Alarm Yes )6 No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes 76 No_ School Mitigation Reqd? Yes No_ <br /> Reason 660 5 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:,() \ 8/6(/11 School Impact Fee Credit: <br /> Structural Approved By/Date: II Pc Total School Impact Fee Owed: <br /> Comments: Comments: <br /> 1 <br /> Intake OK by: # i II' Intake OK by: Ok to route _ Hold <br /> Make this a"W" .-rmit? Yes No <br /> PUBLIC WORKS , <br /> FEES INTAKE: Checked By: kB Date: '7-Z 7-17 <br /> Plan Check Fee Comments: <br /> Okati f -{or over--Nle- Cook)fe✓' <br /> Building Permit b' gzadj <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 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 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee 0 PW Permit Approved- PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee • <br /> FIR ;DEPARTMENT <br /> School Mitigation Feeatel v Sprinklers Yes )c No_ Existing Bldg,( <br /> Update/New Detection Yes No_s ' Existing Bldg._ <br /> Update/New Chemical Yes_ No A Existing Bldg._ <br /> Update/New Fire rvice Yes_ No .4 Existing Bldg. <br /> Approved by� 'y�'?J p Date: 3 <br /> Comments: /2/ <br />