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FOR OFFICE USE ONLY •• PERMIT# .O— TYJ <br /> f?- E`-cp.2 ati t'i ^ x m n'` _x tt� y - i m 7a�^x,�' �? "�'3 trx v EC a --i ,�4 r .. t 3 <br /> sE - t -x'4 <�'BUf art i :: ' ' x f_Citt: ti §Y'',.:, iWF;..wx.��.. _q Y*z'2..'�F' N � SZ 4 ;z <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION (pgC F) 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 es_ 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 Requ''-d Yes_ No_ Phone#: <br /> Reason Approved by: Date: <br /> Existing Fire ' arm Yes_ No—Unk Historic Approved by: Date: <br /> Fire Alarm ;equired 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 Approve : / Date: School Impact Fee Credit: <br /> Structural Approved: Date: 47,21 <br /> 7 { ('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 /> x � ,+�.'x�-,."�'�i �a'1 fir ti o � +.3r�:�.x icx,�. ��.. ,'��s}13. ��y'�`�x�`ti i'ati�atr�S f <br /> b:S.4�C°s��¢1�?x+.2. < ��ndi'�'�ux,k.'Fr'U...b -.+m .hve .M,.w.,a,�...�..;«�.5�v`.�4��Mm,.G ,�.sr,.Frvu,.._b_..e, <br /> It i 'lr a�•,w :'N VSMEW 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: 1r.LP Date: 4'/7 1 7 <br /> Water Fee J'PW P-eit 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 `' ... SE ? ?... F I 'F 1ENt:....s : . . ...: E.. <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 Service Yes o_ Existing Bldg._ <br /> Approved by: Date: q-,5.- <br /> Comments: <br /> `J 7/ '0 <br />