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FOR OFFICE USE ONLY PERMIT# K\ 1:-.1),(-1- 62 <br /> '"g", <br /> .s //rt <br /> G.hi: S a C. a T . <br /> ..eaF r ,.. y......... ..x.___......._ .... ......... x.u_ .,.ua ,3_...>.. .._.._». _y.._:... «'t ..L..a.s..�.a..,uT.k�..h l,.,n..1�_ ...»I•���._- .. � -.:.t�:._.._ .. _,t.....f, .. ..., _ <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> V UATION 69a Nonresidential Use <br /> Numb of Stories Residential Use <br /> Occupant roup Proposed No. of Dwelling Units: <br /> Occupant Loa Total No.of Dwelling Units: <br /> Basement No_ Yes i Fin / Unfin 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 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_ N. #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 /> Structural Approved: Date: '2-T f 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 /> �j�a,�xa�.. �,We�sr�`�*`�.nF as�^a: �x����YF nv„a.'s s.�u�+�e 7�d�k�aa.-a `§'ti�i.�'�'�� �z+.s .��y�y v,r: <br /> lam?'rye.+u`'�'&'•I�� ",'`f'FiRNIF 7 NNO iM��'+^s'wx�,•»�'dA? :."�S_i;_ '#'1L. s� �� <br /> �}:'a.:.<F.,.'A,€„�'i�,1 a. � ,s,_...�.. <br /> egrai =" � � AI , ' INTAKE: Checked By: Date: <br /> ��N ..� ..�iv\e1.1'��.�.`.�.I.R�> ��. �a.���"�3zri_�i£�.1,.-a+.th'..u_Y:..,}ei'#�t"`5...= <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: /(,B Date: 4-20' f T <br /> Water Fee ITS PW Peff3it Approved-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 :> y:. ;- -- . aF_iteaily ...>fs F L { tkszig : Mit.4 l <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 Fir S rvice Yes / No_ Existing Bldg. <br /> Approved by: Date: `{-Z'(-1 <br /> Comments: 'r <br />