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FOR OFFICE USE ONLY PERMIT# K Q O g <br /> �-,r , ; Z3 S l k� ux c 2,:. ,�z, � h� t � *T- tI y it Si���Y F \ 3: � �.i�.)`tizw,±?zx' 19. r' U.gfy 4� .�.. � � <br /> $ 'f k , i,... FSY......,. t .0). G k'� ! 'v i.�:.v 4 h cs: R_.�.i........7 k \�",Y`3`�); 1I G� { 4�i�Z: f <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION (alis 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 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: l 131�JTotal 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 /> IPISI 'h4ERyn'v�:�y "s NNO0¢a'nxE,z<ea1.sx111• 2•fi•1 <br /> K'Jx i{'i.a 4£ t.6.� u Z .S` Yx; ,x"*C 7it5 Kds.4'-x'+y :'*4�x.cC "$ <br /> K� `� �.FESS. �� M ., SI � 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: AB Date: 7 i0'17 <br /> Water Fee la PW frit 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 -as ; m ; 0"NO T NTaI <br /> School Mitigation Fee Update/New Sprinklers Yes l- No_ Existing Bldg.__ <br /> Update/New Detection Yes_ No I" Existing Bldg. <br /> Update/New Chemical Yes_ No /Existing Bldg. <br /> Update/New Fire Service Yes / No_ Existing Bldg._ <br /> Approved by: Date: -7~13-f l <br /> Comments: <br />