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FOR OFFICE USE ONLY PERMIT# &Lk —QS9 <br /> ���� ' <br /> • <br /> ����i.������ <br /> Size Zoning Classification (&- �� <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> �Au\�� - ��CV�� <br /> Number ofStnhou Residential Use ..,°�r`� � `. ` »4 <br /> / <br /> Occupancy Group Pmp000dNo.nfDvweUingUnda: � <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No=_ Yeo__ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction ' needed before final? Yes No <br /> Existing Sprinkler System? Yes NnUnkP|anhin0|napactor: <br /> Fire Sprinkler Required Yes No Phone#: <br /> � <br /> Reason Approved by: Date: � ( .ci /'La\V <br /> Existing Fire Alarm Yes NoUnkHistoric Approved by: Date: <br /> Fire Alarm Required Yoo__. No School Mitigation Reqd? Yes No <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet reqd for permit? Yes No #of Net New Units: <br /> Adu'iRom/o^.asuvvamquimdpno,mnnanYeoNo Calculated School Impact Fee: <br /> Architectural Approved By/Date: / /�� School Impact Fee Cnodd: <br /> Structural'`pp'~^~~~r~~^~ <br /> `/ �~-/ '-- Owed:Total School |mpeotFee <br /> Comments: z«oft»cz vv1.40441. Comments: <br /> cie~ stien-net."wit ICK�����4 <br /> Intake OK by: Intake OK by: Ok to route Hold <br /> Make this a"W Permit? Yes No <br /> '^ ` '�^^;' '^�`' <br /> -- ����.'�-'` `�����'���''��������1�"�{��z����� r' INTAKE: Checked�� Date: <br /> ~���. ��j����..I� �//�� . =.,.�� j�� -- � <br /> Comments: <br /> Plan Check Fee <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,An- als,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works I Sys Dev/T -f5cMit./RPBA'NOT REQUIRED <br /> Plumbing Fee ^�l <br /> ~ RuutaforPub|ioVVor ` -eview(ddgfo|der, PVVVVodwheot) <br /> Mechanical Fee 0 Public Works Perm oncurrent Review(separate green folder) <br /> PIng Bldg Review Fee PW REVIEW: p^' Reviewer: Date: <br /> Water Fee 0 PW Per ' Approved`PVV <br /> Sewer Fee LJSee r Review Worksheet <br /> Systems0 Dev� Fee P Permit Not Required <br /> Traffic Mitigation Fee <br /> » <br /> Public VV»dmFee �����/�|����������������`����� O�T������'�����`�����'�'�i�:���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 NnExisting Bldg. <br /> __. <br /> Approved by: Date: <br /> Comments: <br />