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FOR OFFICE USE ONLY PERMIT# b1 lO D..--Do`k? • <br /> 0-11- oafs <br /> BUILDING PLANNING <br /> Bld0 ddn/Rem Size ikl{P Zoning Classification 1 3 <br /> Garage Size — Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories g--• Residential Use v101}-j c� <br /> np <br /> Occupancy Group I` '2. Proposed No. of Dwelling Units: --- <br /> Occupant Load M to Total No. of Dwelling Units: <br /> Basement No? Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction t 6 needed before final? Yes No x <br /> Existing Sprinkler System? Yes_ No % Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No X Phone#: . <br /> Reason :t S7 l4(1 Approved by: 16,,1)101‘ ' Date: 3,3 tet'7 <br /> Existing Fire Alarm Yes_ No_Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No `i <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes )4 No_ #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes )4 No_ Calculated School Impact Fee: <br /> Architectural Approved: met,, vilnet,Date:4(5/I1 School Impact Fee Credit: <br /> Structural Approved: girt kq'9 Date: Total School Impact Fee Owed: <br /> Comments: C`ii C mon- ot-n Comments: <br /> � // Intake OK by: Kt-Y <br /> Intake OK by: /"4" ___�_ _ _Date: __ <br /> �� �� PUBLIC WORKS <br /> FEES INTAKE: Checked By � .. Date: 7�1a4617 <br /> Plan Check Fee Comments:,SFE_ Q1 '�a • 0//E Ay/414k <br /> Building Permit 7 Fiflin- S <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 NrRoute for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Conc rent Review(separate reen folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewers rent <br /> 3 3 <br /> Water Fee PI <br /> Permit Approved-PW I1-133-0 <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 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 />