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FOR OFFICE USE ONLY PERMIT# S Igb4�O‘Z <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification p-_-).1,\A u, <br /> Garage Size Overlay/Agreement --- <br /> VALUATION Nonresidential Use 47V.Dh RI fl (Z',–e1� <br /> Number of Stories Residential Use — J <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 Approved • . . ' tel✓/ Date: 4 3/f e <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 required prior to final?Yes No Calculated School Impact Fee: <br /> Architectural Approved By/Date: 4/ School Impact Fee Credit: <br /> Structural Approved By/Date: �JU ( Total School Impact Fee Owed: <br /> "� <br /> Comments: Comments: <br /> Intake OK by: Intake OK by: Ok to route Hold <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit AM kfJ� ��" <br /> 9 <br /> Surchar e High Hazard Sites(Dental/Med16al,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: Date: <br /> Water Fee 0 PW Permit 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 FIRE DEPARTMENT <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 Existing Bldg. <br /> Approved by: Date: <br /> Comments: opts <br /> ' 7 <br />