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FOR OFFICE USE ONLY PERMIT# <br /> BUILDING _ PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification -S <br /> Gimp Size t C 700 .;-/ - Overlay/Agreement <br /> (--- <br /> VALUATION 1 7 92C) Nonresidential Use --- <br /> Number of Stories I Residential Use S FR--- <br /> Occupancy Group (A Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: 4-t <br /> ?----- <br /> Basement No;X Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction J6-43 needed before final? Yes_ No_ <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: Ii Reason Approved b (./Date: O /q 1— <br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved by: =---- Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes No V <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: ////i L School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 2c <br /> /7,4,c Comments. - <br /> Intake OK by: 1-4 O ( OF p i rIC� Intake OK by: Okto route Hold <br /> Make this a "W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <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 ❑ 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 eview(separate green folder)fo� <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: 9 <br /> Water Fee 0 PW Permit Approved- PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee APW 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 />