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FOR OFFICE USE ONLY PERMIT# VW Il o 1�CiA <br /> BUILDING PLANNING <br /> Bldg/Tl/Ad n/Rem Size 0 40 Sf Zoning Classification 11 <br /> Garage Size Overlay/Agreement f <br /> VALUATION 1 1 WO Nonresidential Use oj4- ,� le, _ <br /> Number of Stories 1 Residential Use <br /> Occupancy Group 5 ` 1 Proposed No. of Dwelling Units: <br /> Occupant Load (9-1 Total No.of Dwelling Units: <br /> Basement No, Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction v g needed before final? Yes_ No_ <br /> Existing Sprinkler System? Yes No)4 Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No )4 Phone it <br /> n <br /> Reason `ut_tiv l/ I si-coi Approved by: L.vlki.c6a Date: --Z--(—1 <br /> Existing Fire Alarm Yes_ No )1 Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No K School Mitigation Reqd? Yes No <br /> n <br /> Reason r e4-✓-t1 ( 5.4(,."7 Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes No ,l #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:A\U, oLe51 7/t7 School Impact Fee Credit: <br /> Structural Approved By/Date: I 1 Total School Impact Fee Owed: <br /> Comments: Comments: <br /> -1-14 cpr € & NOr 6E Ofine <br /> oR-- Pur,oc_ m1/;t - sT ve , , .�* <br /> (6-r�FwR 2 tfi 2 u't d) �' <br /> Intake OK by: Intake OK by: +�?, Ok to rout 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: kB Date:Skip .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 FeeFIRE 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 />