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FOR OFFICE USE ONLY PERMIT# V.464--00/-41
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<br /> Bldg/TI/Addn/Rem Size Zoning Classification
<br /> Garage Size Overlay/Agreement
<br /> VALUATION 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 Y•s— No— Phone#:
<br /> Reason Approved by: Date:
<br /> Existing Fire Alarm Yes— No—Unk— Historic Approved by: Date:
<br /> Fire Alarm Re•aired Yes_ No_ School Mitigation Reqd? Yes— No
<br /> Reason Everett School Dist Mukilteo School Dist
<br /> RCW 64.:5 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: v ;1 Date: k �`1 r 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
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<br /> AliEf 1 1`8i1 g� ' ” 0'` `` ` ` 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: q``T/ 7
<br /> Water Fee 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 ,`>.. :R*, ' , xfAVINTih�. ..r,S3., ...
<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: 11 Date: %1$-(7
<br /> Comments:
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