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FOR OFFICE USE ONLY- PERMIT# f O(o-02l <br /> BUILDING . <br /> r: �:.. „ �� � _� "� �. ��, .:PUNNING <br /> Bldg/Tl/Addn/Rem Size g)(//17 Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 40 'Q Nonresidential Use <br /> Number of Stories / Residential Use <br /> Occupancy Group /e/(,r Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No_ Yes, Fin / 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 Approve by: Date: (// <br /> Q/ 0 Z I/7 <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!RCW 64.55 docs required prior to final?Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: t.d/ / School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: &9/6--/erz c tafe..� Comments: <br /> Intake OK by: Ciff Intake OK by: Ok to route _ Hold _ <br /> Make this a"W" Permit? Yes No <br /> INTAKE: Checked B LIC WORKS <br /> FEES ,; Date: 22 <br /> Plan Check Fee Comments: A(If /iL�128� S' <br /> Building Permit <br /> Surcharge Hig Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review 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-Concurren•Review(separate green fol.er) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewed Date: . 2.7- • <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee ❑ ee PW Review Worksheet <br /> Systems Dev. Fee JPW 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 /> (10 <br />