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FOR OFFICE USE ONLY PERMIT# K,\I-0c -o L 3 <br /> ...:.,.... e..,..... .... ...,.s . ....n .. a........,........a ��... e.:...... r........ ._..,....:f. 4�...,.. _Sz.♦ .. ., ..,_�,.n.,>A>...x y *,*' Ila Y>..'h`.::4.v <br /> EINAnmoig <br /> Bidg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION t0e348 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'l 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: �'i Date: �" 2 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 /> - w= k al `i'4 b Y Y hew 't• '1. t' W-.'�9' k X' Y 4 £1 M{?7'`- -�' l <br /> S iagajkC a > "" ;°«. t aatdkR .x T'.''f tura `r�iR`�\r.r AA.F .'1.Liw:f',�l <br /> `'i L �x,,, ,t 4 �. i s qtr `;�� ! INTAKE: Checked By: Date: <br /> „�'..-¢�.`.�.?�`a?.a.� r�t��*s.�......aG.. �..,,.s �,..�s...ass:.:ae:�.�f�u<:..�r.,�=�E'a.:�vi.• <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: /f25 Date: 4-/7-1 7 <br /> Water Fee PW Periit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee ]]►► <br /> S+S y' '�`t�;b3Kzf {tea E Q 3`4 D /;s* E_lft's",. i {S.•:; �3 i _ <br /> Public Works Fee ,.� . • � ' �•� -•r <br /> School Mitigation Fee Update/New Sprinklers Yes 7 No_ Existing Bldg._. <br /> Update/New Detection Yes_ No— Existing Bldg._ <br /> Update/New Chemical Yes— No_ Existing Bldg._ <br /> Update/New Fire Servi a Yes ( No_ Existing Bldg. <br /> Approved by: _�' Date: 9—1 -1? <br /> Comments: <br /> C;k-pii <br />