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FOR OFFICE USE ONLY PERMIT# B I f40(4 --a3 <br /> Llo `� $ s --- g e --. F ;a z v T,K2 "= e 3 e .�=ti z E- rims v i i" <br /> Bldg/TI/Addn/Rem Size Zoning Classification - \ <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <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 needed before final? Yes No <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: ff_ <br /> Reason Approved by:C T Date: 60 l 16/ I 2-0 L <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No <br /> Reason Everett School Dist Mukilteo School Dist <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_ No_ Calculated School Impact Fee: <br /> Architectural Approve, Date:JVAC f 1, n, School Impact Fee Credit: <br /> Structural Approved: Date: Total School Impact Fee Owed: <br /> Comments: Comments: <br /> `}-r 12/t 9' Intake OK b Ok to route X Hold `Pf•. <br /> Intake OK by: Y <br /> Make this a"W" ermit? Yes_ No_ <br /> 74' ,A4iFlaki '.ib; 5, t, . INTAKE: Checked By: 8 Date: '6"17-17 <br /> Plan Check Fee Comments: ktty fake /h- <br /> Building Permit <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 4 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer Date: <br /> Water Fee '�k'W Permit Approved-P 4� Ze _CT <br /> Sewer Fee 0 See PW Review Worksheet 11 \\ l� <br /> Systems Dev. Fee 0 PW Permit Not Required �t^-�l`�0L-0 25 <br /> Traffic Mitigation Fee <br /> ;� � of ,r. ray � " 0 <br /> Public Works Fee . .,,.0 , a ,,;,n r ,, ,, .,,:, ,,, TM v , ', ; <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 /> p <br /> Comments: z <br /> (--°'---) <br />