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w`4 <br /> rFOR OFFICE USE ONLY PERMIT# t 10 'b <br /> iii i- Bids b„ ,,. <br /> BUILDING PLANNING <br /> Bid”. Size fit]- Zoning Classification FIC.3 <br /> Garage Size '" Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories pol" Residential Use •N1J\\--j.. n,01 <br /> Occupancy Group 1`-1' Proposed No. of Dwelling Units: <br /> Occupant Load PM Total No. of Dwelling Units: `"-- <br /> Basement No�0 Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V e needed before final? Yes_ No x <br /> Existing Sprinkler System? Yes— No )0 •Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No% Phone#: <br /> Reason >EX lCli N(r Approved by: ,Otr� Date: 3--�j-17 <br /> Existing Fire Alarm Yes_ No_Unk )/ Historic Approved by: J Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes No `C <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes Y No_ #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes X No Calculated School Impact Fee: <br /> Architectural Approved:(Y4.6 ON d (� Date:ittquI School Impact Fee Credit: <br /> r <br /> Structural Approved:10 1 (l `0 ! Date: Total School Impact Fee Owed: <br /> Comments: tyTemax., ON LI Comments: <br /> Intake OK by: li•A/ <br /> Intake OK by: IV'4f Date: kiti_ <br /> PUBLICWORKS <br /> FEES INTAKE: Checked By e.,.5_ Date: Zrld�lel 7 <br /> Comments:ScE Oiabe- ✓1 • 0/I E P4/� 00- <br /> Plan Check Fee <br /> Building Permit fm,i7M S <br /> Afre <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 laRoute for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: , Date: 3--3I—(g <br /> Water Fee k PW Permit Approved-PW' 3-d* <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 />