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FOR OFFICE USE ONLY PERMIT# `,�'k I O -O2g <br /> BUILDING PLANNING. :`. <br /> Bldg/TI/Addn/Rem Size Zoning Classification *DAV <br /> Garage Size Overlay/Agreement <br /> VALUATION Pel-02,1 Nonresidential Use j 10V,itIrrt <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: ------ <br /> Basement No_ Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No_L <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved Date: LQ/ 24 0-- <br /> Existing Fire Alarm Yes No_Unk_ Historic Appro ed by: Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes_ No_ <br /> Reason Everett School Dist Mukilte• . ool Dist <br /> RCW 64.55 ME worksheet req'd for permit? Yes_ No_ #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No_ Calculated Sc.:• Impact Fee: <br /> Architectural Approved By/Date: L_ 2 polder 17 School I pact Fee Credit: <br /> Structural Approved By/Date: > U r I --- Total School Impact Fee Owed: <br /> Comments: I Comments: <br /> �o l "I Ok to route Hold <br /> Intake OK by: .�I�' � Intake OK — <br /> Make this a" 'ermit? Yes No <br /> PUBLIC WORKS . ! <br /> FEES INTAKE: Checke <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 Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: «"/•I 7 <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 FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes XC No_ Existing Bldg._ <br /> Update/New Detection Yes X No_ Existing Bldg. <br /> Update/New Chemical Yes X No_ Existing Bldg. <br /> Update/New Fire Service Yes_ No_ Existing Bldg. <br /> Approved by: ,-,-; , Date: /l- -17 <br /> Comments: Sp n \�, \G os <br />