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FOR OI�FIC�IISE' OA(L.)° PERMIT� �(�DS f��O <br /> _ , ,, . : . - _ <br /> , <br /> . . . <br /> ` 6.UILDING <br /> _ ; ; , ; PLAtdhLINC�,; , , <br /> BIdgJTI/Addn! m Size 6�d S Zoning Classification <br /> Garage Size "— Overlay/Agreement �---"'-"' <br /> VALUATION ��7 6� Nonresidenfial Use — <br /> Number of Stories � Residential Use �,1 � � <br /> Occupancy Group ��a" Proposed No. of Dwelling Units: `"�"'~� <br /> Occupant Load ` 3 Total No.of Dwelling Units: <br /> Basement No� Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction• UQ needed before final? Yes No ✓'! <br /> � Existing Sprinkier System? Yes No � Unk Planning ItSspector: r----� <br /> Fire Sprinkler Required Yes No � Phone#: ...--.--�-~-""' <br /> Reason '(�X�S���1cs Approved by: Dafe: ( � <br /> Existing Fire Alarm Yes No�Unk Historic Approved by: Date: r� <br /> �,...�.... <br /> Fire Alarm Required Yes No� School Mitigation Reqd? Yes No .,,�,�--��`" <br /> — — -�,.,,, <br /> Reason �X�57(/�1� Everett School Dist Mukilte�cYiool Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes /" No #of Net New Units: ''� <br /> Add'1 RCW 64.55 docs required prior to final?Yes No� CalCulafed oo{ impact Fee: <br /> Architectural Approved By/Date: m� ��P� '► (7/�� ol Impact Fee Credit: ' <br /> Structural Approved BylDafe: Total School Impact Fee Owed: <br /> Comments: �L�,%� �(L.t)(� 11�c��) (� � Comments: <br /> Intake OK by: 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 � ����� <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 ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:�_Date: ` '/ <br /> Water Fee PW Permit Approved-PW� ��O'!�� <br /> Sewer Fee See PW Review Worksheet <br /> �� <br /> Systems Dev. Fee PW Permit Not Required <br /> Traffic Mitigafion Fee <br /> Public Works Fee ` �'(RE;.DfPARTMENT <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 B1dg._ <br /> Approved by: Date: ' <br /> Comments: <br />