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9)rloLe—o' - <br /> FOR OFFICE USE ONLY PERMIT# '01b(9 O7 <br /> BUIL, <br /> DING • : <br /> Bldg/TI/Addn/Rem Size U pt(L% .5 Zoning Classification E-3 <br /> Garage Size Overlay/Agreement <br /> VALUATION 5 t f�0JJ1 Nonresidential Use <br /> Number of Stories .I Residential Use %U )1• <br /> Occupancy Group (La2 Proposed No. of Dwelling Units: - <br /> Occupant Load (V A Total No.of Dwelling Units: <br /> Basement No'X Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction U Q needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No ?°Unk_ Planning Inspector:------, <br /> Fire Sprinkler Required Yes_ No 74 Phone#: t <br /> Reason et t SZ kAtlr Approved by i � Date: (a r(,2..I <br /> Existing Fire Alarm Yes_ No la Unk_ Historic Approved by: Date: f <br /> Fire Alarm Required Yes— Nosh School Mitigation Reqd? Yes_ No_ <br /> Reason L')C kS70,1v Everett School Dist Mukilteo S .. Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No 7 #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:ANS1s 01 S 1,2/I, Schoo " pact Fee Credit: <br /> �i <br /> Structural Approved By/Date: b I*(1- Taal School Impact Fee Owed: <br /> Comments: Cif-A "- S J - € 5 xti twI-At Comments: <br /> Intake OK by: Al //($'/11 Intake OK bPj0_c_____ Ok to route _ Hold _ <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORK <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 preview(separate gree folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: �/3 <br /> Water Fee 0 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 <br /> 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 /> C27;) <br />