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FOR OFFICE USE ONLY PERMIT# bk.) t It /401f <br /> BUILDING PLANNING ' <br /> Bldg/TI/Addn/Rem Size Zoning Classification 5,-z <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use COmw'a1 -•Pi64•-'Flay <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 NC <br /> Existing Sprinkler System? Yes— No—Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: • <br /> Reason Approved by: 4, \ Date: s- J N-j v <br /> Existing Fire Alarm Yes_ No—Unk— Historic Approved by: Date: <br /> Fire Alarm Required Yes— No— School Mitigation Reqd? Yes No X <br /> Reason Everett School Dist Mukilteo School Dist / <br /> / <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 By/Date: t� School Impact Fee Credit: <br /> Structural Approved By/Date: it, (`7 I LJ Total School Impact Fee Owed: <br /> Comments: 4 Comments: ItAe✓+oe- Q/ it; <br /> r-� c�Mme t�+�C=F--11__--c,C=F--11__--c,�- <br /> nei �- ,z,tuu,� c reeltSA Jt•errw`' coot (,)alta <br /> 1'V Intake OK by: t $ Intake OK by: Ok to route _ Hold _ <br /> Make this a W ermit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments:1" 0-I P-Pb — N )t � W)(, � <br /> Building Permit at 1 D iA , le � U� <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary, for RPBA) <br /> Additional Plan Check ❑ 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 ❑ 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 />