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FOR OFFICE USE ONLY PERMIT# /\. A— a(sl <br /> ^€)'4 t 3�p > '. /-�:4 c i t b fix` 4:+*q, 2 5 S. .. z�zv z� . Ft 3 ? 3 `,` - N t\c a 5r�- <br /> AN <br /> �:.,.i�. ... ..... .....�,.,; � . a, ......... .--,...N �x.:�:.s.r ..:... r,... ?t-. � 'r�....:.c sr._..S;t.. .�..'z,_. ..Y.k._a....w.. ...� . ,.,.v.Y...>...3.....,.a.,.....,......,-... . . .,......_. <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION L 'sg3I g Nonresidential Use <br /> Nu ser of Stories Residential Use <br /> Occupa . Group Proposed No.of Dwelling Units: <br /> Occupant Loa, 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? -s_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: Date: <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: Date: _ School Impact Fee Credit: <br /> Structural Approved: _ Date: t/L9//{4 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 /> P�»k c �"'�x ���+�e"�+gRws�� Q�xc c-.e}y-,.>k,-as�s r .�x �,.*� '� irFs�,Szt,a.�x �E,"�tc� „`� <br /> .' a T"`t .Nf Fk'� >�L: i K� Y3''+s"",��1R t y}M .�4 1 7,fir <br /> 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: Date: I "/7-/7 <br /> Water Fee PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee ❑ PW Permit Not Required <br /> Traffic Mitigation Fee �q`ryf <br /> :3 &%ui� ��.Etta;R.Yy�4�.' .moi 14, RR EP+� ME titan ¢4f"tF.`rY,F;�_.,.5 §F.e�T;e <br /> Public Works Fee �: ,,, �,... :. ,.�� � -- <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: J--- Date: L!—i Q- <br /> Comments: 04– <br />