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FOR OFFICE USE ONLY PERMIT#)3 <br /> BUILDING PLANNING <br /> Bldg/TI/Add em Size Zoning Classification �J <br /> Garage Size Overlay/Agreement <br /> VALUATION <br /> Nonresidential Use c.Q� X0-5 ytxr•1 &A i <br /> Number of Stories Residential Use <br /> Occupancy Group Q 2 S' Z Proposed No. of Dwelling Units: <br /> Occupant Load j'Y\AX Total No. of Dwelling Units: <br /> Basement No_ Yes )x Fin /(nfin) Landscape or Planning Inspection <br /> Type of Construction y4 needed before final? Yes No� <br /> Existing Sprinkler System? Yes No L Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No 1G Phone#: <br /> Reason ex N(r .6 � Approved by: �.• Date: <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes No x <br /> Reason I UCtSlt-j b Q�� i.d 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: (ne(, L(� 7 School Impact Fee Credit: <br /> Structural Approved: Total School Impact Fee Owed: <br /> Comments: L f_O�OP-7 m-e-4 Stu f\000 Comments: �� p...�,�p `') , jC(A- ire EHC Iy.i I�OZO <br /> 1 � 1(4, ri"�"�a1'i1L� 5.2, J\M�croS►+ci\I bV. '-�4?L Y0j <br /> Intake OKb� <br /> Intake OK by: Dater <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: C Date: <br /> Plan Check Fee Comments: <br /> Building Permit )H- CEJ St3Sf 8 Sr <br /> T� v 15--:Ty �aa3s aasysf <br /> Surcharge High and Sites(Dental,Medical, nimals, 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)(PiN f/L) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: kf Date: 2 —/ <br /> Water Fee ❑ PW Permit Approved- PW <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: <br />