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FOR OFFICE USE ONLY PERMIT# ', c'ba -01 1 <br /> .S ,-_ z f c `, ,,i. 7 It .. -- bbl 3Z t i 1: w <br /> ii��1 yyyyy�+ x � _ �,�� 4 itLA+, Ga f � <���5 F <br /> _.:�. r,.... ..a ..._.._.,....s .K_„-�_.T,a:..3 ......-... C:. . .,�...+w... Z.i..�.,..L_. a 4` �lM�� F _._v�. T.,.....�o. ... ._, .3: <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 47k9 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 workshet req'd for permit? Yes_ No_ #of Net New Units: <br /> Add''RCW 64.55 docs uired prior to final?Yes No— Calculated School Impact Fee: <br /> Architectural Approved: iDate: 1. 1, School Impact Fee Credit: <br /> Structural Approved: ( Date: 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 /> s�"��`ja'F�NININi S rr >��.��.1..�.f,-. OWNREIM W <br /> kh 9A'"..'<s'`�33.�. A L"' 1µ�'~`FCd4 `'' `"xf G' 'SdT6 EV2 -fa rash i Zr .` :` ' va: 51 INTAKE: Checked By: Date: <br /> a �., ,1.. Y5 <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: )29 Date: 7 1O a 7 <br /> Water Fee til 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 /> �� � her. �tF"i` ,� � � � u <br /> Public Works Fee Ss .ISMER �1 AEP.A € 1 .....,?° '`.$. ..` .. ,.. <br /> School Mitigation Fee Update/New Sprinklers Yes 7 No_ Existing Bldg._, <br /> Update/New Detection Yes_ Nor Existing Bldg.— <br /> Update/New Chemical Yes— No Existing Bldg._ <br /> Update!New Fire Service Yes / No_ Existing Bldg.— <br /> Approved by: Date: 7—1 3—1) <br /> Comments: <br />