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OG-01 "5 - <br /> FOR OFFICE USE ONLY PERMIT# '011®(.0-O2. 3 <br /> BUILDING <br /> PLANNING ; <br /> Bldg/TI/Addn/Rem Size URS-teS Zoning Classification 12- <br /> Garage Size Overlay/Agreement <br /> VALUATION 5 f owl Nonresidential Use <br /> Number of Stories 1 Residential Use 1,AU(A; FiNciA <br /> Occupancy Group RA Proposed No. of Dwelling Units: ----- <br /> Occupant Load NA Total No. of Dwelling Units: <br /> Basement NoX Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction v Q needed before final? Yes_ No V'- <br /> Existing Sprinkler System? Yes No Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No $ Phone#: ,,��/ <br /> Reason it X t S?o"I� Approved by: -�( Date: IQ 11,241,--A--- <br /> Existing <br /> Fire Alarm Yes_ No yi Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No '1 School Mitigation Reqd? Yes No_ <br /> Reason G'X kS'llNv 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:f'4bei S 1.,141/ Schoo - pact Fee Credit: <br /> Structural Approved By/Date: r b I*(1- T. al School Impact Fee Owed: <br /> Comments: CA-Av.-FL S ft-cE S i/1-tf wt - Comments: <br /> UP(. e-? P' <br /> Intake OK by: iv\P1 /j fig'/t'l Intake OK by(.7ja______ 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: <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 gree folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: �1-3 <br /> Water Fee ❑ 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 i 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 />