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. FOR OFFICE USE ONLY • PERMIT#,B\---b`1 — Og <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size – Xf SitC:? Zoning Classification (– <br /> Garage Size Overlay/Agreement <br /> VALUATION 3s0C-' Nonresidential Use __- - <br /> 1 <br /> Number of Stories Residential Use 6,-,.-a(N-)etc - <br /> Occupancy Group Proposed No. of Dwelling Units: — <br /> Occupant Load Total No. of Dwelling Units: 1 <br /> Basement No Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction . 12. needed before final? Yes No X <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: X.. A Date: S–Vet—11 <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes No i. <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: Date: 5141/7 School Impact Fee Credit: 7 <br /> Structural Approved: Date: Total School Impact Fee Owed: <br /> Comments: Z,;/ - /UL_ #; ,'j`,;(-. Comments: <br /> Intake OK by: • Intake OK by: t-.'"'. Ok to route <%) Hold <br /> Make this a"W" Permit? Yes No <br /> . PUBLIC WORKS <br /> FEES INTAKE: Checked By) -� . Date: D <br /> Plan Check Fee Comments: .j5o S lc ley /tor z <br /> Building Permit KO fkil ( C/Fh/d <br /> Surcharge High Hazard Sites(Dental, Medical,Animals, Mortuary,etc-Review for RPBA) <br /> Additional Plan Check El7Public 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(separ to reen folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer; Date: qo /,7-- <br /> Water Fee 0 PW Permit Approved- PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee tErPW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee AFIRE 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 /> _ <br /> Comments: <br /> `l <br />