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6lo(e—o1 5 - <br /> FOR OFFICE USE ONLY PERMIT# V16(1)--016- <br /> BUILDING <br /> 1®(U'O2-t3BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size U R 0-1e5 Zoning Classification P,-3 <br /> Garage Size Overlay/Agreement <br /> VALUATION $tri f4-01J'j Nonresidential Use <br /> Number of Stories 1 Residential Use pry V1 ,F' <br /> Occupancy Group Roc. Proposed No. of Dwelling Units: —Occupant Load Total No.of Dwelling Units: <br /> Basement NoX Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction 1f Q needed before final? Yes No <br /> Existing Sprinkler System? Yes— No )o Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No 74 Phone#: <br /> Reason Approved b ✓✓✓ Date: 10 <br /> Existing Fire Alarm Yes— No yo Unk— Historic Approved�`��`by: Date: <br /> Fire Alarm Required Yes No '4 School Mitigation Reqd? Yes— No— <br /> Reason )(esliiw Everett School Dist Mukilteo S •.. Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No ? #of Net New Units: <br /> Addl RCW 64.55 docs required prior to final?Yes_ No )° Calculated Scho• pact Fee: <br /> Architectural Approved By/Date:ANSLI .f 1 'S 1,2/I1 Schoo pact Fee Credit: <br /> Structural Approved By/Date: r I #(1.- T. al School Impact Fee Owed: <br /> Comments: C -J'W-"- S P/I-C-E 5 ixtr .-r t.r- Comments: <br /> Intake OK by: All �I b$'/t1 Intake OK byc/t2c____ 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 ❑ Public Works/Sys Dev/Traffic Mit./RPBA- NOT REQUIRED <br /> Plumbing Fee ❑ 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: 4 /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 FIREDEPARTMENT .. <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 />