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FOR OFFICE USE ONLY PERMIT# 011D(o�Olt <br /> BUILDING: PLANNING <br /> Bldg/Tl/Addn/Rem Size U R A-1 Y45 Zoning Classification Es—,3 <br /> Garage Size Overlay/Agreement <br /> VALUATION 5 e+c f vtu,.J'j Nonresidential Use <br /> Number of Stories 1 Residential Use kAUL'"C• 'FA <br /> Occupancy Group P,g, Proposed No. of Dwelling Units: -- <br /> Occupant <br /> T—Occupant Load NA Total No.of Dwelling Units: <br /> Basement No's Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No v� <br /> Existing Sprinkler System? Yes_ No Unk_ Planning Inspector: a <br /> Fire Sprinkler Required Yes_ No 74 Phone#: ,,�,/ <br /> Reason 4'$t Si kA t Approved by`: �( Date: 1— <br /> Existing Fire Alarm Yes_ No 'a Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No ' School Mitigation Reqd? Yes_ No <br /> Reason kS71Nv Everett School Dist Mukilteo S ••. 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 Scho• pact Fee: <br /> Architectural Approved By/Date:ANA-LI N-PcI ' S v../0 Schoo •act Fee Credit: <br /> Structural Approved By/Date: ry <br /> T.T• al School Impact Fee Owed: <br /> Comments: CI-Aw L S O/-cE S?/tvc.T•nR-M- Comments: <br /> UFC, L•- <br /> Intake OK by: `1/\P- '5/�8'�1 1 Intake OK b Ok to route _ Hold _ <br /> Make this a"W" Permit? Yes No <br /> pug=WORKS <br /> FEES ; INTAKE: Checked By: Date: <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 eview(separate gree folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee aPW 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 />