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FOR OFFICE USE ONLY PERMIT# 7( 7 0 W-O31 <br /> BUILDING = PLANNING <br /> BldgfTI/Addn/Rem Size Zoning Classification A-' <br /> Cafage Size 1 gr-K, Q B Z Overlay/Agreement <br /> VALUATION '4S$C7 Nonresidential Use <br /> Number of Stories t Residential Use A.65 "CieCrc <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: `j- Date: $ (�-5(13- <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.'RCW 64.55 docs required prior to final?Yes_ No Calculated School Impact Fee: <br /> Architectural Approved By/Date: citi-- afzs-/'9- School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: i-ltIntake OK by: Ok to route _ Hold <br /> Make this a"W"Permit? Yes No <br /> P BLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: N 0 ,� a c'w f_ i/ /oil Ni <br /> Ade <br /> Building Permit 4 T€/?/n1 fil/+� J <br /> 4a fii q <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check Xi 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-Concurrentt�R��eview(separate gre n fold r) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer; ,P17 Date:_ 1 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee N.PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <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: Date: (-----), <br /> Comments: <br />