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V I FOR OFFICE USE ONLY _ PERMIT# k -065 <br /> �L f� ;A � 1 ? <br /> ' BUJILI 104100 3 x � LAIV) NCS 4� <br /> ._.....: ........n ... ..,..��.�.. . .,..,.....,......,., - ...r ,.,�-,.. ..,....:; <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 44! 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 Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by: Date: <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'I RCW 64.55 docs required prior to final?Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approve. cy Date: �'� C School Impact Fee Credit: <br /> Structural Approved: �j Date: { Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W'Permit? Yes_ No_ <br /> �.¢: `•u''a �cr«".:"�t�/ 7�xnE'h. d's ,�v� ,.;�v�+�s�h���,r,�xacv��ac.�yu vw.r. 'sL,E'r..�ini, t'�a}y'� e'S �r�✓,)+��'r �"5 <br /> VI m SS`=F4y'r.`lS."'�',."`roµ�E: a iEMOK s�•`iT�,"Fs'�3' P Q'}5�4.•E q�e ys�; <br /> au�4''�,�"�.t„�r..�,.-�3�t3,�k. ..t..#.k7a�'u'� „..�.... ,.e_._1...._...x.-na+.�? .,,.�.�.. .> S.,S,... ,., ..:.r,�. <br /> Y'�'f >e b; v;;kt a^Y`v ;Z .�`M x'�'� '5+.y Y y �.c i '�� a <br /> .`�.«4 .`: SFE S. ...E �; �� xY ,�E;'`a INTAKE: Checked By: )'29 Date: 9./8-17 <br /> Plan Check Fee Comments: <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 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: /YQ Date: Y f8 J 7 <br /> Water Fee 'PW Pern it pprove 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 4" y`-` LkSIONJI OION MENVIR : .. _.:ME,.., • <br /> School Mitigation Fee Update/New Sprinklers Yes ,No_ Existing Bldg._ <br /> Update/New Detection Yes_ No l Existing Bldg._ <br /> Update/New Chemical Yes— No /Existing Bldg. <br /> Update/New Fire Service Yes— No / Existing Bldg._ <br /> Approved by: .„11_,„ tbifoe . Date: '.-/t—C7 <br /> Comments: <br />