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FOR OFFICE USE ONLY PERMIT# ` tqk 2—Q2 e <br /> BUILDING PLANNING. ,1 <br /> Bldg/TI/Addn/Rem Size Zoning Classification r11_,.... "I <br /> Garage Size Overlay/Agreement ` (✓1ti cC,_ <br /> VALUATION ^0(2° Nonresidential Use Clt�i �Number of Stories Residential Use ''--'` <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement - No es_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No <br /> Existing Sprinkler System? es_ Nok_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No 7 N. Phone#: <br /> Reason Approved by: Y.-1)e `J Date: r'L 1`6-'►1 <br /> Existing Fire Alar, Yes No_ Jnk_ Historic Approved by: Date: <br /> Fire Alarm Re,,uired :Yes No School Mitigation Reqd? Yes_ No <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.. MF worksheet req'd for permit? Yes/ No_ #of Net New Units: <br /> Add'1 - W 64.55 docs required prior to final?Ye;_ No_ Calculated School Impact Fee: <br /> Ar itectural Approved By/Date:Z. /;3 Go School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Commentt riet.„) D � /7/4 Comments: <br /> Intake OK by: �1 '� I� Intake OK by: Ok to route _ Hold <br /> i _ <br /> Make this a"W" Permit? Y _ No <br /> PUBLIC WORKS <br /> FEES 'i INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <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 PW Permit Not Required12f1$/14 <br /> Traffic Mitigation Fee 0 <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 xisting Bldg._ <br /> Update/New Fire S rvi e Yes_ No / Existing Bldg. <br /> 4--------- <br /> / _ <br /> Approved by: � Date: j—j—I 3 <br /> Comments: <br />