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FOR OFFICE USE ONLY PERMIT# )70 o g-{ <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size ,�'�X/L` .� Zoning Classification • <br /> "' rG \`_ <br /> Garage Size Overlay/Agreement <br /> VALUATION 7i2 )A,J Nonresidential Use <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 T• Fin Unfin Landscape or Planning Inspection <br /> Type of Construction j m&4?L /ll t1-i needed before final? Yes No <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: —_ <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: rL' l Date: -7.- I(. iI <br /> Existing Fire Alarm Yes No Unk Historic Approved by: — Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes No <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: c'777 Date: �j/��i- School Impact Fee Credit: 7 <br /> Structural Approved: Date: Total School Impact Fee Owed: <br /> Comments: Z 'j— /tC Commentk: <br /> Intake OK by: '- • Intake OK by: k—Or Ok to route A 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 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: r<0 Date: CO .t0 -I <br /> Water Fee 0 PW Permit Approved- PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 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 /> 21 / <br />