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x irk cL+b 1..•41L 0"1, <br /> FOR OFFICE USE ONLY PERMIT# 0' 1 <br /> 0 <br /> ac 09if <br /> BUILDING PLANNING <br /> Bldgifl/Addn em Size tg 2c.) Zoning Classification '--4 <br /> Garage Size �"' Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories I Residential Use UVVr r(i <br /> Occupancy Group Is Proposed No. of Dwelling Units: <br /> Occupant Load 44o Total No. of Dwelling Units: <br /> Basement No AO Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction VS needed before final? Yes_ No)( <br /> Existing Sprinkler System? Yes No tiC Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No x Phone#: 11 <br /> Reason S%ZC 4 v S . )1-Approved by: • lk Date: 3-3-I l <br /> Existing Fire Alarm Yes _ No k Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No x School Mitigation Reqd? Yes No y <br /> Reason 411e k USF Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes )4. No #of Net New Units: <br /> Add!RCW 64.55 docs required prior to final?Yes x No_ Calculated School Impact Fee: <br /> Architectural Approved: IV\CLs FitcLE,Date: 4/41(9 School Impact Fee Credit: <br /> Structural Approved: J 4 Date: q`f S/(? Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: <br /> Intake OK by: Mak Date: 2/B/11 <br /> UBLIC WORKS <br /> FEES INTAKE: Checked By: Date: Z/'0/2014- <br /> ent: hk a ��. cm e_ <br /> Plan Check FeeComments: <br /> p �p <br /> 10 Age- <br /> Building Permit dr./ ri � Frye J�111f i p <br /> i �f <br /> Surcharge igh Hazard Sites(Dental, edical,Animals,Mortuary,eeo-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee EiRoute for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concur ent Review(separa a gr en folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: a Date: <br /> Water Fee ►4. PW Permit Approved-PW 1103 —09-6 <br /> Sewer Fee 1</PE:1 See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required �50 SF q <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 /> CoDate: <br /> Comments: / <br />