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FOR OFFICE USE ONL: PERMIT# �`e \7 -OS O <br /> BUILDING ' <br /> PLANNING . . . ' <br /> Bldg/TI/Add em ize (5714. Zoning Classification 7j <br /> Garage Size Overlay/Agreement <br /> VALUATION t coca Nonresidential Use <br /> t , <br /> Number of Stories 1 Residential Use /64011– ; „ _ <br /> Proposed No. of Dwelling Group p Units: <br /> Occupant Load Total No. of Dwelling Units: 2. <br /> Basement No_ Yes6.17)1Unfin 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: F . V Date: 1 1, )q <br /> I'” <br /> Existing Fire Alarm Yes_ No_Unk X Historic Approved by: VVV Date: <br /> Fire Alarm Required Yes No /k- School Mitigation Reqd? Yes_ No )C <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No K #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes— No k Calculated School Impact Fee: <br /> Architectural Approved By/Date: V u- (A o/i School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: t 0 15- ite_L �SyG Comments: <br /> Intake OK by: 41-1--' 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: q2(1 Building Permit <br /> Surcharge High Hazard Sites(Dental/M ' nimals,Mo, ary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev raffic Mit. 'PBA- NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Review(• •g folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent -view(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee 0 PW Permit Approved-P <br /> Sewer Fee 0 See PW Review Wor: heet <br /> Systems Dev. Fee 0 PW Permit Not Re. ired <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New •rinklers Yes_ No_ Existing Bldg._ <br /> Update/N: 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 /> 117 <br />