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FOR OFFICE USE ONLY PERMIT# K t\O`-1 - 0 2 <br /> 4 Y 7 y�'may, " f r ,.SR E .-_ } SY,]- n4.J \ia7/+ k ,, 1 Sal.. <br /> .t Fs'�b F T'n. t s `^�. .�Lb o s 4 'v 3`iN �y n .`,,, it Ota £x *t 3 f MI PlANNI. 1G1fY r. ..tt.._SVfi ._.. g..T.,,7:. <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION cD 8ta Nonresidential Use <br /> Num r of Stories Residential Use <br /> Occupant Group Proposed No.of Dwelling Units: <br /> Occupant Loa Total No.of Dwelling Units: <br /> Basement No_ Yes_ Fin / Unfin r Landscape or Planning Inspection .. <br /> Type of Construction needed before final? Yes— No <br /> Existing Sprinkler System? No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason <br /> Approved by: Date: <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_ o_ #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No Calculated School Impact Fee: <br /> Architectural Approved. Date: School Impact Fee Credit: <br /> Structural Approved: ,0 I Date: 4121 I-7" Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: Intake OK by: Ok to route _ Hold — <br /> Make this a"W"Permit? Yes_ No <br /> s-:2`^"e iGF'" 2:'- +end, �,c.J�i?'k'.'�.;M#k^`gt]�rrri>:,y.Jga..'v'w::k:°.;e;rr.'= 'I,+*'`�:'�;a`.`ERTI.. _":ti ti.1;';;e <br /> �`�`' 6��� k ��T"t` INTAKE: Checked By: Date: <br /> s,�'3�L+:- ? I—�"V. �v }-• 'EE. +.' .c� h�r�ss`A`S eta.=er- <br /> tc5.4� a�er:.J_.;'r.'..=:.t..x �,c 4�).§..n.�:Y..,.2zs� 7�.:cL�`f,�.�� <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: dB Date: 4 Z-0 4 7 <br /> Water Fee 4 PW PeFmitaApproved-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 iknls yTAe $, " ETearana <br /> School Mitigation Fee Update/New Sprinklers Yes 1No_ 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: l 2A"(/ <br /> Comments: (� <br /> 9 <br />