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FOR OFFICE USE ONLY PERMIT# 116 1-4 t - <br /> BUILDING <br /> ..'PLANNING„,, .. : .. ”" <br /> Bldg/TI/Addn/Rem Size Zoning Classification MM <br /> Garage Size Overlay/Agreement /0,4te <br /> VALUATION Nonresidential Use V/A ' 140 <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 V <br /> Existing Sprinkler System? Yes_ No Unk_ Planning Inspector~._---- <br /> Fire Sprinkler Required Yes_ No_ Phone#: "----------- <br /> Reason Approved(b_ Date: q // i7 <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 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: 4School Impact Fee Credit: <br /> Structural Approved By/Date: cl 0 (1 Total School Impact Fee Owed: <br /> Comments: 'pAGL is .cam_ 4 _Iptil.r4Comments: <br /> 1 `o; su1b4W- .nfw y <br /> t='t/ {b2. /AO - , S-ztaq-E. <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes No <br /> PUBLIC WORKS <br /> FEES" INTAKE: Checked By Pi Date: ���� �� <br /> Plan Check Fee Comments: e y ,0d ,e1®164h <br /> Building Permit rid- LW ,. <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check rig 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,;tevie (separate gre n f Ider) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: . OOjjff Date: <br /> Water Fee 0 PW Permit Approved PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee Igi PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes 7. No Existing Bldg. ./ <br /> Update/New Detection Yes 7 No Existing Bldg. ./ <br /> Update/New Chemical Yes o /Existing Existing Bldg. ,---- <br /> Update/ <br /> Update/New Fire Service Yes_ N Existing Bldg. t----- <br /> Approved <br /> Approved by: Date: °I"12-r) <br /> Comments: s A " <br /> gesere <br /> t vi ,0444.0.p.„‘,,t. <br /> Ildif <br />