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FOR OFFICE USE ONLY PERMIT# flO 'O1 <br /> BUILDING ; PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification g,-. 5 <br /> Garage Size S74 S. Overlay/Agreement c_)a-pc <br /> VALUATION 1-5 q VO Nonresidential Use <br /> Number of Stories J Residential Use g <br /> Occupancy Group "1 Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: \ <br /> Basement No X Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction 3/-15 needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: - <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by: Date: 0(12. 7 /1 —1 <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 - ool 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 Sch pact Fee: <br /> Architectural Approved By/Date: dill— 6/Z�/jJ Schoo pact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 10 is + Comments: 4 $ , I • e G / # <br /> L / r :� '1/ 11 I I 4,\ <br /> Intake OK by: Intake OK :r ,__ Ok to route _ Hold _ <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS <br /> - > FE€5,..• :. . ... ;' �i. . INTAKE: Checked By:�,�7 Date: <br /> / <br /> Comments: <br /> Plan Check Fee ?7tL)w Pxjt.:a)aA0 <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 qg Public Works Permit-Concurrent Review(separate green fold ) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: 093 Date: 4 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 ee PW Review Worksheet <br /> Systems Dev. Fee k►! 'W Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee <br /> 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 /> Approved by: Date: <br /> Comments: <br />