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FOR OFFICE USE ONLY PERMIT# B l'( 0—0-114 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification (2"-,,-- I <br /> Garage Size 2 SJ� Overlay/Agreement <br /> VALUATION3420 Nonresidential Use <br /> Number of Stories I Residential Use <br /> Occupancy Group (A Proposed No.of Dwelling Units: AillujAul5T <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction Zig needed before final? Yes_ No Y. <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by: Date: i0—' I 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 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 School Impact Fee: <br /> Architectural Approved By/Date: a Jul ZI ( / School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: -' /6— ,'g2G Comments: <br /> ` 2 Ok to route Hold <br /> Intake OK by:610 <br /> Intake OK by: — <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 fol/r) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date. /7 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee CXPW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes_ No / xisting Bldg <br /> Update/New Detection Yes_ No / Existing Bldg. <br /> Update/New Chemical Yes_ No /Existing <br /> Bldg. <br /> Update/New F' e Service Yes_ No 7 Existing Bldg._ <br /> Approved by. Date: 2,-261 <br /> Comment : <br />