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FOR OFFICE USE ONLY PERMIT t 70 6'4r <br /> BUILDING PLANNING <br /> Bldg/TI/Add /Rem Size '?-& t0 Zoning Classification -- 4" <br /> Garage Size Overlay/Agreement ,.---- '' <br /> VALUATION 'V 00 0O Nonresidential Use <br /> Number of Stories Residential Use M (-)1_,11 Ir <br /> Occupancy Group �—a"' Proposed No.of Dwelling Units: "----- <br /> Occupant Load 13 Total No.of Dwelling Units: <br /> Basement No)a Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction• UQ needed before final? Yes_ No <br /> • Existing Sprinkler System? Yes_ No )S Unk_ Planning Inispector: <br /> Fire Sprinkler Required Yes_ No )0 Phone#: ,-----; <br /> Reason t,Xt S t frJ c Approved by; `,��' Date: S l lob` " <br /> dd <br /> Existing Fire Alarm Yes_ No )4 Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No)d School Mitigation Reqd? Yes_ No <br /> Reason t S1 � Everett School Dist Mukilteg...Sctlool <br /> ( INDist <br /> RCW 64.55 MF worksheet req'd for permit? Yes X No_ #of Net New Units: y,,,�^''� <br /> Add'I RCW 64.55 docs required prior to final?Yes— No_ f0 Calculated Wig—Impact Fee: <br /> Architectural Approved By/Date:INA) MIX-) 7/('7/(? ooI Impact Fee Credit: <br /> Structural Approved By/Date: Ca/1/l(4- Total School Impact Fee Owed: <br /> S <br /> Comments: p1 S , P(u) --t-,(1,,t (00i;ilp„t,/1/ Comments: <br /> Intake OK by: 42 Intake OK by: Ok to route Hold _ <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> • Plan Check Fee Comments: <br /> Building Permit All4-4VOYCOY <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works I 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: A 6' Date:5 /847 <br /> Water Fee W Permit Approved-PW ( 1O( -0`iLf <br /> Sewer Fee See PW Review Worksheet <br /> D <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 />