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FOR OFFICE USE ONLY PERMIT# /2 1 los -o*q <br /> BUILDING PLANNING <br /> Bldg/TI/Add /Rem Size �jO1(0 Se Zoning Classification g-- 'Lc- <br /> Garage Size Overlay/Agreement <br /> VALUATION i 6100 Nonresidential Use <br /> Number of Stories 02 Residential Use 4vi vit. q <br /> P--- - <br /> Occupancy Group f`---a"' Proposed No. of Dwelling Units: "'--""-'-,. <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No)4Yes_ Fin / Unfin _ Landscape or Planning Inspection <br /> Type of Construction, UQ needed before final? Yes No 1------ <br /> Existing Sprinkler System? Yes No \A Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No )d Phone#: -------'—- �-f <br /> Reason "GXkstvo�- Approved by�� Date: (�/(�Jl <br /> Existing Fire Alarm Yes_ No )v Unk_ Historic Approved by: Date: 6 <br /> Fire Alarm Required Yes No)d School Mitigation Reqd? Yes_ No_ <br /> Reason L\6( 1(/Jtr Everett School Dist Mukilte <br /> 5 g,Sctiool Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes X 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: P1)t✓6 \ l- ^) 0/17 of Impact Fee Credit: <br /> Structural Approved By/Date: !.r (p Y-� IT Total School Impact Fee Owed: <br /> ft! <br /> Comments: 5pi-us (Zoo1PJ tto)3 Lo i Comments: <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 I*J1 .(M)D3 4' <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: B Dater/a-17 <br /> Water Fee ►1 "W Permit Approved-PW I70(o-0 titt <br /> Sewer Fee ■ See PW Review Worksheet <br /> Systems Dev. Fee . o PW Permit Not Required <br /> Traffic Mitigation Fee T. <br /> Public Works Fee <br /> FIRE 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 /> (2>/2) <br />