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FOR OFFICE USE ONLY PERMIT 4 bf 6'6;-- <br /> BUILDING . • s. PLANNING <br /> Bldg/TI/Addn/Re0Siz 7.._( 0 Zoning Classification IL- 14" <br /> Garage Size Overlay/Agreement <br /> VALUATION ------- Nonresidential Use <br /> Number of Stories c2-- Residential Use M tA_T, <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load 1 3 Total No. of Dwelling Units: <br /> Basement No X1 Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes No <br /> Existing Sprinkler System? Yes No )S Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No )() Phone#: <br /> IOW <br /> Reason •&)(kSrli•Kr Approved by: Date: Sit to/I <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No)6 School Mitigation Reqd? Yes No <br /> Reason ‘1(( Everett School Dist Mukiltap-Sellool Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes No #of Net New Units. --- <br /> • <br /> Add'I RCW 64.55 docs required prior to final?Yes No)0 Calculateci...,Sempact Fee: <br /> r <br /> Architectural Approved By/Date: Pile, lkPs'LE1) 7/I?/19 ....S.ohtigImpact Fee Credit: <br /> Structural Approved By/Date: c„,(1,,.._ Total School Impact Fee Owed: <br /> Comments: 5P6-0 ? N)17101-) mil Comments: <br /> Intake OK by: Intake OK by: Ok to route Hold <br /> Make this a"W"Permit? Yes No <br /> PUBLIC • 7. . • <br /> • . . • INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit ail AlkitY(01( <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: R6' Date:5 /8-17 <br /> Water Fee PW Permit Approved-PW f'7 O& V4'# <br /> Sewer Fee DSee PW Review Worksheet <br /> Systems Dev. Fee s 'W Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee . .S: <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 />