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FOR OFFICE USE ONLY PERMIT# Y)I�����Zt <br /> BUILDING PLANNING <br /> Bldg I/Add /Rem Size ,- " � � �`, a�'" Zoning Classification " <br /> Garage Size � Overlay/Agreement <br /> VALUATION '� �Q-°�''7 Nonresidential Use � �U ' <br /> Number of Stories �` Residential Use c------ <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 v{; needed before fina!? Yes No�� <br /> Existing Sprinkler System? Yes No X Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No X Phone#: <br /> Reason �'����W�+' �1�E Approved, " : Date: � � <br /> Existing Fire Alarm Yes_ NoX Unk_ Historic Approv'd by: Date: <br /> Fire Alarm Required Yes No �C School Mitigation Reqd? Yes No <br /> Reason E K�YI�Nlr U S� Everett School Dist Mukilteo Sr,l�oorDist <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_ N _ CalCulated SCho paCt Fee: <br /> Architectural Approved: �C`� �(�1,�� �V� (�•�7 Scho pact Fee Credit: <br /> Structural Approved: Date: � � otal School Impact Fee Owed: <br /> Comments: �� R��o� �� �� Comments:;j,-1,�C ��U,�I, /1 � \ �',aj <br /> �L tr �t l W� C D `'��' C�l�''�� Z.2. D��L F3; �3 , ��,v'�t,�.'�.. i,� ��� <br /> �r 1 to t�'1 4 � l�. `�� � � � ��. � l � <br /> o N '( ��h P r� m � <br /> Intake OK by: y Intake OK � !/Ok to ute Hold _ <br /> Make this a"W" Permit? Yes No <br /> ' ;° PUBLIC WORKS ' <br /> �E�g 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 se arate reen folder <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:��_Date: �-`1t "/ 7 <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee ❑ 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 />