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FCR OFFICE USE ONLY PERMIT# 1'-ox — 020 <br /> —iia d 1 <br /> t_ tea. ti S x £. �. -. t i k� c� t s }:.�� �� {F SSY i�� t-:4r'>4- � �:f�`i 1 � L.t .t <br /> ..n.� S-....::.:. .�BIl).#Is1L Nag r} 5„a..._L}., �. rF�::. „L "_ sist�.,a.1.+t..,sn._,�r`a .g:,'4...'.'Fm:,.iN ST ......_: -.5.,_ri g, <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> • <br /> Garage Size Overlay/Agreement <br /> VALUATION G78 k 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 r. 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: , ti Date: q r� School Impact Fee Credit: <br /> Structural Approved: 1 Date: I Total School Impact Fee Owed: <br /> AComments: Comments: <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes No_ <br /> ja tltiwaV <br /> nY cNGnTO <br /> rii YU KCCraft ; INTAKE: <br /> Checked By: 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: kg Date: ct-5 17 <br /> Water Fee e PW Pe it Approve• 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 EIREINSIBMWOMitYWNEERININSIS, <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 Fire Service Yes No 7 Existing Bldg._, <br /> Approved by: \1/10---- Date: -C- 17 <br /> Comments: <br />