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FOR OFFICE USE ONLY PERMIT# 1,4 -0 <br /> F s sz PA.. shsZ},t s�1� j� ..s 9 sk ,.. t Es N^ }y! � .} <br /> NERINBEN MST <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 4 7 - 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 Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes— No_ <br /> Existing Sprinkler System? Yes No_Unk Planning Inspector: <br /> Fire Sprinkler Required es_ No_ Phone#: <br /> Reason Approved by: Date: <br /> Existing Fire Alar ► Yes_ No_Unk Historic Approved by: Date: <br /> Fire Alarm Re• ired Yes_ No_ School Mitigation Reqd? Yes— No_ <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64. 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: School Impact Fee Credit: <br /> Structural Approved: 00 Date: 4ieey1q-- Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: Intake OK by: Ok to route Hold _ <br /> Make this a"W"Permit? Yes_ No <br /> a al t tea, KOt-s +�.�x+.�k�, rx r�i-�t - <br /> O�2f * k3'` � `xr ,* "� `� taw INTAKE: Checked By: Date: <br /> to '�tD�00+ u'c„Ste" ti 1''tq1+,�`Tva x � �11111,1 k'pY�,a7 <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: e Date: T-17-/ 7 <br /> Water Fee DZI 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 IIIIMMAINIVEN0114WWWWWIROINIIII0 <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: ``(-la-(7 <br /> Comments: <br /> Ci��i' <br />