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FOR OFFICE USE ONLY .. PERMIT# 'I'loo7—d-fl3 <br /> s ' <br /> M <br /> BUILDING / PLANNING <br /> Bldg/Tl/Addn/Rem Size � Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 1 Nonresidential Use <br /> Number of Stories / Residential Use <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 i needed before final? Yes_ No_ <br /> Existing Sprinkler System? Yes_ No )4 Unk Planning Inspector: <br /> Fire Sprinkler Required Yes x No_ Phone#: <br /> Reason NFFR (3 Approved by: Date: <br /> Existing Fire Alarm Yes No)0 Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes )0 No_ School Mitigation Reqd? Yes_ No_ <br /> Reason 0114) 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:{AO WIuel Date.447/17 School Impact Fee Credit: <br /> Structural Approved: 1\14k Date: Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: <br /> Intake OK by: Date: <br /> PUBLIC WORKS / <br /> FEES INTAKE: Checked By: 1 , 5 Date: 04/ ?--e(-7 <br /> Plan Check Fee Comments: LGxIJ I ifor De-DA * be. rt-usEd. <br /> Building Permit N o lig slrtrf�G E Jv4 <br /> Surcharge High Hazard Sites(Dental,Medical,Animals,Mo ary,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-Concurr nt Review(separa e gr-en folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: � Date: 2.1- <br /> Water <br /> LWater Fee 'PW Permit Approved 410k )30g— ©03 <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 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 V Existing Bldg._ <br /> Approved by: (1�``\ ""` Date: 2'II --I- <br /> Comments: <br /> D. <br /> t[-z -11 <br />