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I <br /> R FOR OFFICE USE ONLY PERMIT# lel ® t <br /> BUILDING <br /> PLANNING <br /> Bid /TIddn/ em Size �J(J Zoning Classification " M <br /> Garage Size Overlay/Agreement iiv3 " 11 <br /> VALUATION Nonresidential Use �f "n(A-ft C'UV(" 7 <br /> Number of Stories j Residential Use IV ojJu- <br /> Occupancy Group /sal Proposed No. of Dwelling Units: N 0 (�•� <br /> Occupant Load �j Total No. of Dwelling Units: <br /> Basement No X Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes Noy <br /> Existing Sprinkler System? Yes )4 No Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes >4 No_ Phone#: <br /> Reason Iv T- P5 Approved Date: <br /> Existing Fire Alarm Yes X No Unk Historic Approved by: - Date: <br /> Fire Alarm Required Yes V No School Mitigation Reqd? Yes_ No <br /> Reason A L7c A-" f p)y s Everett School Dist Mukilteo School Dist <br /> RGW 64.55 MultiFamily Enclosure Req'd? Yes No_ <br /> #of Net New Units: <br /> Add'I RCW 64.55 docs req'd prior to final?Yes No <br /> Calculated School Impact Fee: <br /> Architectural Approved: r(, Date:'L• \1 School Impact Fee Credit: <br /> �� Total School Impact Fee Owed: <br /> Structural Approved: /� Date: Comments: l� <br /> Comments: <br /> Intake OK by: <br /> Intake OK by: Date: PUBLIC WORKS <br /> INTAKE: Checked By: L : Date: <br /> FEES Comments: '1'S+ -0 ek 41 4,1 ., <br /> Plan Check Fee 22 53 JU'�' _ / <br /> ✓v U� 1 � Akt-tl <br /> Building Permit High Hazard Sites(Dental,Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Surcharge ❑ Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Additional Plan Check Route for Public Works Review(bldg folder, PW Worksheet) <br /> Plumbing Fee ❑ Public Works Perm it-Concu ent Review separate green folder <br /> Mechanical Fee PW REVIEW: PW Reviewer: Date:_ <br /> Ping Bldg Review Fee ❑ PW Permit Approved-PW <br /> Water Fee ❑ See PW Review Worksheet <br /> Sewer Fee PW Permit Not Required <br /> Systems Dev. Fee <br /> Traffic Mitigation Fee FIRE DEPARTMENT <br /> Public Works Fee Update/New Sprinklers Yes No Existing Bldg._ <br /> School Mitigation Fee 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: r\/\ Date: Z 11 <br /> Comments: <br /> f rliv-l <br /> V� w Ajy� <br />