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FOR OFFICE USE ONLY PERMIT#Ira ZOS- (5f3 <br /> BU,ILDIN _. <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use Carytif%A.e.c..4.A� <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 Approved by: Y.-•W.A (� Date: 6--2S i <br /> cg <br /> Existing Fire Alarm Yes <br /> — No—Unk_ Historic Approved by: oo Date: <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes_ No7C <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: , �� /?..Ey g School Impact Fee Credit: <br /> Structural Approved By/Date: , Total School Impact Fee Owed: Tor:I Comments: �,na-5 fe�1p.G2a \Ng,- Joc-ht <br /> Yat fb:1 \eEJ ext k2tA <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 <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: 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: <br />