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FOR OFFICE USE ONLY PERMIT# — <br /> B DING X PLANNING <br /> (.... ------------------.----Bldg I/Add /Rem Size 4/7 4 cgubri ' ) Zoning Classification plus A <br /> Garage Size Overlay/Agreement <br /> VALUATION 10)0 oe Nonresidential Use rJ(k,e S Y I o p <br /> Number of Stories /� Residential Use <br /> Occupancy Group i" 1 Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Ngr Yes_ Fin / Unfin Landscape or Planning Inspection / <br /> Type of Construction V 6 needed before final? Yes No V <br /> Existing Sprinkler System? Yes_ Nog Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No -6 Phone#: -7 <br /> Reason Approved b 7 Date: )' �i iS <br /> Existing Fire Alarm Yes_ No 2, Unk_ Historic Approved by: ------ Date: -----'- <br /> — <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes_ No t/ <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No --e #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes— NoNo—ISCalculated School Impact Fee: <br /> ll <br /> Architectural Approved By/Date: ?� 1 "3/--/$ School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: !V 111/ tib Intake OK by: Ok to route _ Hold _ <br /> Make this a" aPermi A? Yes No <br /> PUBLIC WORKS <br /> FEES I' ' ... °,. . . ,. INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites( t I ,A ' als,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/ ys Dev affic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 0 Route for Public W• s Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works P-- it-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: -W Reviewer: Date: <br /> Water Fee 0 PW P- mit Approved-PW <br /> Sewer Fee 0 e 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 l Existing Bldg._ <br /> Update/New Chemical Yes_ No ( Existing Bldg._ <br /> Update/New Firr Service Y s_ No Existing Bldg._ <br /> Approved7-'7 Date: Z,-- 1"` 18 <br /> Comment <br />