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FOR OFFICE USE ONLY PERMIT# 9)10-\rviill <br /> Li <br /> BUILDING ' PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification =--; <br /> Garage Size Overlay/Agreement <br /> VALUATION / %6)Ou Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load )4,/) ./. <br /> Total No. of Dwelling Units: <br /> Basement No_ Ye Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No X <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason Approved by: 11- • Uc., Date: 7 _ )t f.—ps" <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 /> RCW 64.55 MF worksheet req'd for permit? Ye No_ #of Net New Units: <br /> Add!RCW 64.55 docs required prior to fin . Yes_ No i Calculated School Impact Fee: <br /> Architectural Approved By/Date: � �' 3/7/0) School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: � fjre e)C <br /> no 42.4evio/ C a,revQ J c aftwej &5 f <br /> ".5 <br /> Intake OK by: 7'`I �1�8 Intake OK by: Okto route _ Hold <br /> Make this a"W" rmit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By:.QJ Date: ,2_.#1f 2o]$ <br /> Comments: R <br /> No q,O 1 S :�1 <br /> Plan Check Fee / <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Animals, Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 18.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-Concurren Review(separate gree f !der) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: 20/ <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 121/ <br /> 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 /> f lr T Lee} ��2/,-' <br />