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FOR OFFICE USE ONLY PERMIT# JS qo(0 —06,5 <br /> BUILDING = PLANnNINC. <br /> Bldglfl/Addn/Rem Size Zoning Classification P 6 — I <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use UTA LA-Cy 1-132_,c .,re)11,4 M <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 1------ <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: — <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved b �f Date: (4,/j / 2-- <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 Mu ' • 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 - ool Impact Fee: <br /> Architectural Approved By/Date: Schoo Impact Fee Credit: <br /> Structural Approved By/Date: if ey/q--4 )� Total School Impact Fee Owed: <br /> Comments: ' Comments:'p - 5._ 014 <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 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 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: , Date: 4 -07 i'7 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee gPW Permit Not Required <br /> --Traffic Mitigation Fee <br /> Publics Fee FIRE DEPARTMENTSchool Mitigate n 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: C,2Aioi <br />