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FOR OFFICE USE ONLY PERMIT# 1g0Y) -O[ <br /> III I 10 <br /> J'$L 71` }y'����yy.�y { T.r H 5� F{.i 1.�.. 'I/+�L FfTY, � �K..,�y �1 <br /> s` r - ' $ aiviEbitt k }: ' �, < .X � c„� �?� ,, itai F. NIiq1:J A {7� i �` <br /> PIAN <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Q Overlay/Agreement <br /> VALUATION 0518 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 r 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 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'l RCW 64.55 docs required prior to final?Yes No— Calculated School Impact Fee: <br /> Architectural Approved: ,` Date: e School Impact Fee Credit: <br /> Structural Approved: 4" Date: I 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 /> j5�� w3 E'�- �4 .xa Via;�v �;Y�-,ua r^ta,;7x,*��:s={..ra..v+y�:�ro'.spx�'S 4j,,,�n 4 a,.cs�`�,3sja�'t�i,.2.e .a�a�r�.h.,.i <br /> T t'3-"'E.. ti e gtari_ _'9�,'./- �9_IISR v'�`"'fa�..r.:6:i.'C.k z t': ..� :7a <br /> SMsRM-SIgSyIN S INTAKE: Checked By: Date: <br /> - <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: k129 Date:,.9-3 /7 <br /> Water Fee PW Per 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 '`ISSI. , f: RNF.EWW IMKNE a$; { _ :. <br /> iL,4 i ..Y, =� �_ <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 7 Existing Bldg. <br /> Update/New Fire Service Yes— No Existing Bldg._ <br /> Approved by: C,(�,irq Date: ¶-C <br /> Comments: 0- <br />