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- .. <br /> al <br /> • FOR OFFICE USE ONLY • PERMIT# C)n o-I <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification r-'1 <br /> Garage Size 6,c2Q ..b Overlay/Agreement "--'-- <br /> VALUATION 27 OQO Nonresidential Use <br /> Number of Stories ( Residential Use L. <br /> Occupancy Group LA Proposed No. of Dwelling Units: '----- <br /> Occupant Load Total No. of Dwelling Units: - <br /> Basement No X Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction j7 needed before final? Yes— No L/ <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved tx Date: 1--11''Lf <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes No j <br /> Reason Everett School Dist Mukilteo Sc ist <br /> RCW 64.55 MF worksheet req'd for permit? Yes No #of Net New Units: <br /> Add'RCW 64.55 docs required prior to final?Yes No// Calculated Sch.. mpact Fee: <br /> Architectural Approved: 0// Date:c,////7 School • .act Fee Credit: <br /> Structural Approved: Date: T. -I School Impact Fee Owed: <br /> Comments: zo/S //.0 Comments: I 0 11? <br /> lie OK <br /> Intake OK by: Cfrr- Date: Y <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: A23 Date: .f-C., `/7 <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: /T,l Date: 1-0.4--'/ 7 <br /> Water Fee 0 PW Permit Approved- PW <br /> Sewer Fee 0 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 /> 2- <br /> ,.., Z- <br />