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. FOR OFFICE USE ONLY PERMIT# 01 ZOa"&Za <br /> 0t ro/1J S ' t: <br /> BUILDINGPLANNING <br /> Bld /TI/ ddn/Rem Size 14\f‘ Zoning Classification 3 <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories o`- Residential Use 1: r"4 <br /> Occupancy Group I`'Z 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 V Q needed before final? Yes_ No x <br /> Existing Sprinkler System? Yes_ No X Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No X Phone#: <br /> Reason ti X(Si UJ(r Approved by: 31101k <br /> Date: 3 3"I7 <br /> Existing Fire Alarm Yes No_Unk)( Historic Approved by: Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes No NC <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes x No_ #of Net New Units: <br /> Add'l RCW 64.55 docs required prior to final?Yes )4 No_ Calculated School Impact Fee: <br /> Architectural Approved:Mrb t lki Date:4/c/(1 School Impact Fee Credit: <br /> Structural Approved:W1 41.ep'0 Date: Total School Impact Fee Owed: <br /> Comments: 1d Comments: <br /> Intake OK by: 4,1-Y <br /> Intake OK by: "f" Date: lcr/1'? <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By !, Date: 2.44/46/Plan Check Fee n <br /> Comments:STE C1U4 4 ' 0/1 E P`J� ! <br /> Building Permit - Fisl. <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 ErRoute for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent <br /> ttiReview(separ togreen folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer ? Date: 3I 201 <br /> Water Fee PW Permit Approved-PW I 3 <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 />