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FOR OFFICE USE ONLY PERMIT# J\geoc _Otg <br /> s ./s+r r c, 4 y' H S�:'z'� > -G > xt ei` : .,ttk t .r ti st w ,t. t > <br /> ....,: �...~....`....;F' i...................,v�_....,.a_..a.,a..s�_.i.... ...._.,. igit: ;�:.. .,o x. .. ,z.a?r. ?.�kL._ ,.._ ..IPLA�II�ING� .:,F <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 60 l8 Nonresidential Use <br /> Number of Stories Residential Use <br /> 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 needed before final? Yes No— <br /> Existing Sprinkler System? Yes—. 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- No #of Net New Units: <br /> Add'I RCW 64.55 docs re.uired prior to final?Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved: t4, Date: all n / School'Impact Fee Credit: <br /> Structural Approved: Date: l l 4 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 /> li� -.f3�:idd"Eh3,�.,�`"1�`<�Yin�'�w^b:•XE:su`..Yn.:lir.Y�i�.oiz.'�`w:Yd;. M��;.i��:"s'r?!n EMINtat <br /> "aaiONO MINII <br /> INTAKE: Checked By: Date: <br /> Comments: <br /> Plan Check Fee <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: 11:5 Date: ?-5--/7 <br /> Water FeePW Perm' Approv-; -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 Bus*ngtessitiomm TMEotana .t`,x .... <br /> School Mitigation Fee Update/New Sprinklers Yes 7 No_ Existing Bldg.__ <br /> Update!New Detection Yes_. No ,7 Existing Bldg.— <br /> Update/New Chemical YesNo / Existing Bldg. <br /> Update/New Fire Service Yes No/ Existing Bldg. <br /> Approved by: \/t^1 ----' Date: 4/ 4-I'1 <br /> Comments: <br /> e ZZ <br />