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FOR OFFICE USE ONLY PERMIT# dl7(O —Of <br /> BUILDING 2 PLANNING , <br /> Bldg/TI/Addn em Size 1 S7IC? Zoning Classification R - 1 <br /> Garage Size Overlay/Agreement <br /> VALUATION 12_J J Nonresidential Use <br /> ,2OccNumber of Stories t Residential Use rl 6H2— <br /> Occupancy <br /> upancy Group Proposed No.of Dwelling Units: / <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No_ Yes V eli-DI Unfin Landscape or Planning Inspection <br /> Type of Construction "ire needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approvedf Date: (O/7 /i <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: `.o//�/,14- School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Z 0/K /2 C q Ws c Comments: �.----_ <br /> Y-���C_G 1 Ni C� Ok to route Hold <br /> Intake OK b : L`� Intake OK by: <br /> Make this a"W"Permit? Yes No <br /> PUBLIC WORKS <br /> FEES j INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit V\e56,ck <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 ❑ 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: Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee ❑ 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 /> '\ ) <br />