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FOR OFFICE USE ONLY PERMIT# 6 f1t3-'0th <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification _2 <br /> Garage Size Overlay/Agreement <br /> VALUATION Zj j Nonresidential Use <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 <br /> nspector.--Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved byetcl Date: 4 / l - <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 Sch.. . st <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No_ #of Net New Units: <br /> Add'I RCW 64.55 docs required pri r to final?Yes_ No_ Calculated Sch.• pact Fee: <br /> Architectural Approved: Date5/22 Sch.► pact Fee Credit: <br /> Structural Approved: Date: otal School Impact Fee Owed: <br /> Comments: Z 0/5- /12 C Comments . I✓sl of <br /> 1e�ke. (1-Uk rr!!GG <br /> • <br /> Intake 0 .•+!�� ♦ 1.1E{fit�U � 19K__ TL Attar' ' <br /> Intake OK by: Date:.f/3'i(fl <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: 44- Date: <br /> Plan Check Fee Comments: taw's - p bit <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 1RrRoute 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: )(J? Date: 4-27-/ 7 <br /> Water Fee 0 PW Permit Approved- PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee ,'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 />