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FOR OFFICE USE ONLY PERMIT# '.rat)R - o10 <br /> _ �yyy//�+-I _ , w z -v> Yr t p'{�K �'�,a� s t hi. ;t '�. <br /> �F: >...�..,4 r S. atiJ.�L �l?i�'J._.-, S..a:. f� . - nom -,.�.....,, ;: �`f.2. v.�7U4_. s ...x=.�.3.. f L../y1 1���19Gox ;.._?o.i{`..-.,.. ....msizmi <br /> _,,.. _. <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 1 'I R 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 PIanning 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'I RCW 64.55 docs required prior to final?Yes No_ Calculated School Impact Fee: <br /> Architectural Approved: Ny <br /> ate: I School Impact Fee Credit: <br /> Structural Approved: Date: 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 /> - 5e24., �ti ?'� .F;x 's++w Y KRL4 k `a S .M1.(+FY C�- *i l <br /> liaze �. .x��$ � SCI" �A� ®�/' i�4 a ��.�'' 4'`Y'i�.. �"�Y e��i�.�%: <br /> P .?. .Y:3�T i '- ` lat r t f1 �,xf .>ii'x':.`.s t._.x'a...v`4...- -fir ii`. <br /> Fx'Fk.,`pE ct,3�p .Y ` ,ccc.t4 .. < c'`x'°' s t.�.,wz 0 <br /> } yy�a�11 `��{ - gest , INTAKE: Checked By: *8 Date: 7-/ 1 7 <br /> L � d���a!I17S��1y.`� �i�i.t.:�`.�;.'h`.F..�� .w..�.rS�:2ek��'���:u_�.Lk.��•J <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 ❑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: AO Date: 7~/0 -f 7 <br /> Water Fee Ar 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 /> Public Works Fee 1111131311061WitIMPAIMINIZIMISISSii <br /> School Mitigation Fee Update/New Sprinklers Yes , No— Existing Bldg._ <br /> Update/New Detection Yes_ No l Existing Bldg._ <br /> Update/New Chemical Yes_ No / Existing Bldg.— <br /> Update/New Fire Service Yes 7 No_ Existing Bldg. <br /> Approved by: Date: 7-13-1, <br /> Comments: <br /> v <br />