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I FOR OFFICE USE ONLY <br /> PERMIT# 9k-w4'o v� <br /> �,�x r.: t:�+ ,_r'` / v i ,t rgry''-',��''`.- *1, 1 ..z v ass x > p. 'v' ;t z 'P n r X5:4 3� ,zmf i t 3 ,, �. <br /> wm- <br /> '� ...�... ,x. 3� NIiPI1 �c,:Yaf..4'��:::._ ...>5.. J� .:.' vs'; :4. ... L_x Tr.:...f �''l�' ,..i �te'...:,';Ems., `...uSF,,,, :t:,,,Y. ..............z r., , <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION litV 1q Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group 7 Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No Yes_ 'in / Unfin - Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes No <br /> Existing Sprinkler System? Yes— o_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 Requir=• Yes_ No School Mitigation Reqd? Yes— No_ <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 F 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:�,2 /\� 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 /> '7,6,2651 .17J10147:04:01131151111411110 <br /> y £ y y u ac a 3 nt 3� ry �k CIS ' <br /> `x `` NOUNRI..�3 STEN S 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: i& Date: 1-/7-1 7 <br /> Water Fee El PW Remit 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 i M . ingeoFAIA iff O N , <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: VL-� Date: L fr-1 8-(7 <br /> Comments: <br />