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FOR OFFICE USE ONLY PERMIT# <br /> 1.77Z,v ` i t <br /> . V , Lt 1il d , � s 11 a P Z?p �! l v r <br /> _"... <br /> BldgITI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION CoiS I e' 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 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: A-/,2,6(1 - 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���� '+ : '�,�y.war` tIp avxstsy� �i e��u �`xL'y�¢ ,+r. 3 3}e�„'2�y,5'; <br /> n4 �:?.. ..0�'0�"va bfi✓ ] � I �V Ri y '£Z `�'F..r._. f`z' r..2 x.. .� -.,:x,.z` <br /> Br ..,..,y fa\al A .,.. nlleh <br /> INTAKE: Checked By: A- Date:1- 7-1 7 <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 blic 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: ke Date: 4 17-17 <br /> Water Fee PW Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> PlR(t~ EANT h <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 Fir Service Yes 7 No Existing Bldg. <br /> Approved by: l "' Date: qr-(2—(7 <br /> Comments: <br /> �..wr <br />