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FOR OFFICE USE ONLY PERMIT#1 )(00 (( —002 <br /> BUILDING PLANNING. t ` <br /> Bldg/TI/Addn/Rem Size f tiic Zoning Classification v\ <br /> Garage Size Overlay/Agreement \ <br /> VALUATION £1O dOO Nonresidential Use \)e\tval ivioirkettogt 3QJ, <br /> Number of Stories I Residential Use <br /> Occupancy Group a Proposed No.of Dwelling Units: <br /> Occupant Load 14/jav Total No.of Dwelling Units: <br /> Basement No"'� Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V`- 13 needed before final? Yes No X <br /> Existing Sprinkler System? Yes lit No->e Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No-A Phone#: <br /> Reason Approved by:(-----7: Date: k2(Ok(20 1-1- <br /> Existing Fire Alarm Yes_ Noe Unk_ Historic Approved by: N(P Date: �— <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes_ No <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No 0 #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No Calculated School Impact Fee: <br /> Architectural Approved.By/Date: . l9 /)a/17 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owe • <br /> Comments: Comments: <br /> Intake OK by: iia( !Ve)//q- Intake OK be_....4 Ok to route \K Hold <br /> Make this a"W"1,---rmit? Yes No <br /> PUBLIC WORKS. <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sit enta ' al,Animals, i•rtuary,e eview for RPBA) <br /> Additional Plan Check 0 Public- Works/Sys Dev' /Traffic ' ./RP NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Revie () er, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurr- t Revie separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Revie -r: 11,6 Date: <br /> Water Fee 0 PW Permit Approv -PW <br /> Sewer Fee ❑ ee PW Revie orksheet -- <br /> Systems Dev. Fee PW Permit .t Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIREDEPARTMENT <br /> School Mitigation Fee Updateb"ew Sprinklers Yes_ No_ Existing Bldg._ <br /> Upda -/New Detection Yes_ No_ Existing Bldg._ <br /> Up..te/New Chemical Yes_ No_ Existing Bldg._ <br /> U,date/New Fire Service Yes_ No_ Existing Bldg._ <br /> Approved by: Date: <br /> Comments: -- <br />