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• FOR OFFICE USE ONLY • PERMIT# IS —OO <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification --- <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use IN ire(LS.5 'c L! <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'✓ <br /> Existing Sprinkler System? Yes No Unk Planning Inspector:` <br /> Fire Sprinkler Required Yes No Phone#: //71 Reason Approved Date: '5IZ`j <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes No L <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: School Impact Fee Credit: <br /> Structural Approved By/Date: JI2�/ — Total School Impact Fee Owed: <br /> Comments: y_c_14( ,_jr'wer- Comments: __ <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: ,;:•.__ j Date: ., ,7 2 5 <br /> Plan Check Fee Comments: ii <br /> y <br /> /P i J A-1 >�^e- (� - -- "t1/0 c <br /> /' Q <br /> Building Permit /).661,-- <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check Public Works/Sys Dev/Traffic Mit)/RPBA- NOT REQUIRED <br /> - <br /> Plumbing Fee ElRoute for Public Works RevteW(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent eview(separate gre n folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: C�eeDate: i <br /> Water Fee 0 PW Permit Approved- PW <br /> Sewer Fee 0 See PW Review Worksheet l4GL Werk ern 104,4- aY <br /> Systems Dev. Fee d PW Permit Not Required n Cq <br /> vif'tftj , F <br /> Traffic Mitigation Fee �J <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: l' <br /> 21y <br />