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FOR OFFICE USE ONLY PERMIT# br7Og-f 04 I <br /> BUILDING PLANNING ,.// <br /> Bldg/TI/Addn/Rem SizeTe-tit cjaoci Zoning Classification 2 <br /> - <br /> Garage Size Overlay/Agreement k-\ L\frm,(Jl <br /> VALUATION / � OLIO Nonresidential Use <br /> Number of Stories O Residential Use S t� <br /> Occupancy Group 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 needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No "e5Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by:� ... Date: '\ f 4 Y/2C)\sir <br /> Existing Fire Alarm Yes No Unk_ Historic Approved b /" ir Date: LI Z_/ 1- <br /> I -- <br /> Fire Alarm Required Yes_ No£S School Mitigation Reqd? Yes_ No_ <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No 'r #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No f Calculated School Impact Fee: <br /> Architectural Approved By/Date:/7,4021:5- j,+ Gi✓'�'/7 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: ItNIntake OK by: r- 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: /Q <br /> Building Permit O v 7 K4 <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 ❑ Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee ❑ PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee 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 /> q1- IL ) <br />