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FOR OFFICE USE ONLY PERMIT# ll <br /> �� y PLANNING <br /> .mss ....... .. .....:....✓�.. ,..-....... ,.„'«.� ...„,s�,.,., ,. .,.;.���`.^�'.-y'��.,,,.,,, ... - ..:... - � .. .A�� .dt.1S3 '%Ys?A�,...... ...----.... <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use lotl /u-rt 1-rt`J <br /> rt <br /> Number of Stories Residential Use T <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 •(r.' ! Date: s I 2.41 ( q- <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 Scho91. <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 Sch pact Fee: <br /> Architectural Approved By/Date: / Sch pact Fee Credit: <br /> Structural Approved By/Date: odA� 4a ( Total School Impact Fee Owed: <br /> Comments: \ Comments:SE5 2lCt'-0-1 5•-puqc:(- © U <br /> Intake OK by: �` k IA!(* Intake OK by: Ok to route _ Hold _ <br /> Make this a W rmit? Yes No <br /> — <br /> FLq- fl 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 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee lin_PW Permit Not Required K &4/2.4 l r--/ <br /> Traffic Mitigation Fee <br /> Public Works Fee ry1 �PRTM y , <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 />