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FOR OFFICE USE ONLY PERMIT# \1/419-0(.4-020 <br /> IIIIIIIII <br /> \ \ } . V 4nrc .S' )4 SF 1 - 3 5 Yt. C t Sp T Y .,suf Y 1 Fl YL 4K y.. j t'i !_- <br /> i' �a, h f 4 f 4 sT r` �f``rs s 8 -£K YI ip h} 1 .,7i. <br /> .. ' t {;t TALI INC } �. z �.� cis , 5 S Fr . , ._ ..,. <br /> .,��� ..�..,... ......... ...,.�-, ..,�..��_,�-_.,�...3._.,,. � ,...FF.. ,Eti�, .,�.,_.? � . .�>�a,a,ti �.„111117,,,,,,.ti._,_.._.. LA�lI�1111G�t�:.�-.._ , �,,...._ ' ....` - <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION CogI S Nonresidential Use <br /> Numb of Stories Residential Use <br /> Occupancy oup 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 needed before final? Yes— No_ <br /> Existing Sprinkler System? Yes— No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes • Phone#: <br /> Reason <br /> Approved by: Date: <br /> Existing Fire Alarm Yes_ No Unk Historic Approved by: s 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 Approve.' Date: School Impact Fee Credit: <br /> / <br /> Structural Approved: ,/Date: 4T4- IR- Total School Impact Fee Owed: <br /> Comments: i <br /> Comments: <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes No_ <br /> �t�'.�.'�ng ntal`:x ta`k nyu�i,OMR <br /> bsyr"'a e �v'�' Wan <br /> 11000:411t- ~� � � �t °L v � INTAKE: Checked By: <br /> 1 r s�a k�z� �s 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 folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:26 e Date: 4 20`17 <br /> Water Fee gl PW Po niMpproved-PW <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 a� �llFnagF FREEAFEi1gnr <br /> V <br /> „ <br /> School Mitigation Fee Update/New Sprinklers Yes / <br /> No_ Existing Bldg._ <br /> Update!New Detection Yes No_ Existing Bldg._ <br /> Update/New Chemical Yes No— Existing Bldg. <br /> Update/New Fire Se ice Yes 7 No_ Existing Bldg.— <br /> Approved by: Date: 2}—Z14— <br /> Comments: <br />