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FOR OFFICE USE ONLY PERMIT#B t�oS -oS( <br /> BUILDING PLANNING <br /> Bldgrfl/Addn/Rem Size Zoning Classification 1� <br /> Gafetge Size ./)6C.R 7O5 _s-,/‹. Overlay/Agreement <br /> VALUATION 07 oo Nonresidential Use <br /> Number of Stories Residential Use 3d-a 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 , z needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason Approved by: <br /> Date: Co r 4jKi"f—1 <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No ")C <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: a7T//7 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: ji74 Intake OK by: Kvi Ok to route "A Hold _ <br /> Make this a"W"Permit? Yes No <br /> P BLIC WORKS, <br /> �� J(S� <br /> FEES INTAKE: Checked By: Date:,�[ "�- <br /> Plan Check Fee Comments: Aid � �� `DF <br /> Building Permit /011-9-4/S- e -A 90 . <br /> Surcharge i•• Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check WI 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 f9lder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:AE. Date: �(s z017- <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 <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 />