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FOR OFFICE USE ONLY PERMIT # %l&( z --a 345 <br />BUILDING <br />Bldg/TI(Addn em Size <br />10 v <br />Garage Size <br />VALUATION <br />ii 03t, 1 1 Z- V <br />Number of Stories <br />Occupancy Group <br />Occupant Load <br />Basement <br />No ZG Yes Fin / Unfin <br />Type of Construction <br />115 <br />Existing Sprinkler System? <br />Yes No k Unk <br />Fire Sprinkler Required <br />Yes,& No <br />M F P !ir i 3 <br />Reason <br />Existing Fire Alarm <br />Yes . No Unk <br />Fire Alarm Required <br />Yes)C No <br />Reason <br />i-,Y`L ((0 7(o <br />Enclosure Law Applies <br />Yes _ hl J - <br />Deferred Submittal Req'o <br />Yes _ No _ <br />Approved by: (5MtcWl) Date: ,,- <br />Architectural Approved: M eb l Date: Z <br />Comments: - - <br />Intake OK by:_� <br />;,FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Plumbing Fee <br />Mechanical Fee <br />Ping Bldg Review Fee <br />Water Fee <br />Sewer Fee <br />Systems Dev. Fee <br />Traffic Mitigation Fee <br />Public Works Fee <br />School Mitigation Fee <br />Zoning Classification <br />APLANNING <br />Overlay/Agreement <br />Nonresidential Use <br />Residential Use <br />"- <br />Proposed No. of Dwelling Units: <br />Total No. of Dwelling Units: <br />Landscape or Planning Inspection <br />needed before final? Yes No <br />Planning Inspector: <br />Phone #: <br />Approved b . Date: <br />Historic Approved by: Date: <br />School Mitigation Reqd? Yes No <br />Everett School Dist Mukilteo School Dist <br /># of Net New Units: <br />Calculated School Impact Fee: <br />School Impact Fee Credit: <br />Total School Impact Fee Owed: <br />Comments: <br />Intake OK by: <br />UBILIC WORKS, <br />INTAKE: Checked By: Date: <br />� <br />Comments: &JI'l �D .3"1�0a M PI.tJ �aWer <br />Poeook-�J)��of> ,11 I cz> 5 Ma � I A" Ci✓i1 p "'qs <br />High Hazard Sites (Dental, Medical, Animals, Mortuary, etc -Review for RPBA) <br />❑ Public Works / Sys Dev / Traffic Mit. / RPBA - NOT REQUIRED <br />❑ Route for Public Works Review (bldg folder, PW Worksheet) <br />Public Works Permit -Concurrent Review separate green folder <br />PW REVIEW: PW Reviewer: Date: <br />❑ PW Permit Approved - PW <br />❑ See PW Review Worksheet <br />❑ PW Permit Not Required <br />FIRE <br />DEPA <br />TMENT <br />Update/New Sprinklers <br />Yes <br />No Existing Bldg._ <br />Update/ New Detection <br />Yes ZNo <br />Existing Bldg. _ <br />Update/ New Chemical <br />Yes _ <br />No _ Existing Bldg. _ <br />Update/ New Fire Service <br />Yes <br />No Existing Bldg. _ <br />Approved by: <br />Date: <br />Comments: O� <br />F-1 Factory and Industrial moderate hazard 1 1091 1041 98 94 <br />