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A FOR OFFICE USE ONLY PERMIT# (v `k2-oto -032, <br /> BUILDING, PLANNING , <br /> Bldg/TI/Addn/Rem Size Zoning Classification - 2- <br /> Garage <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 Planni Inspection <br /> Type of Construction needed before fins . Yes No X <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspect r: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: C '� Date: Lo/5 /2G\ <br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No <br /> Reason Everett School Dist Mukilteo Sch ist <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 F . <br /> Architectural Approved By/Date: i/'f ..3 u/&1r/l7 School Impact Fee Cr it: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: ((„ Comments: '(dr) K‘ `2--c'`4A• <br /> \ate 6, 01 are, ; \\.y sc-> r� d <br /> Intakee OK by: CP �J R Intake OK by: \� �`c1" Uk to route Hold _ <br /> Make this a"W"Permit? Yes No <br /> • PUBLIC WORKS " <br /> FEES INTAKE: Checked By: /f8 Date: b- 5/ <br /> Plan Check Fee Comments: <br /> Building Permit W:tt nese Stpwd�ji t�-1\era,.,.)L r k' Ut <br /> RP ft eN,s�.`f, tee.,.i &U c-uvl <br /> Surcharge High Hazard�es(Dental/Medical,Animals,Mortuary,etc-Kevie Tor ru-"BA) <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: A23 Date: 6-5-1 7 <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee 0See PW Review Worksheet <br /> Systems Dev. Fee E 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: <br />