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FOR OFFICE LSE ONLY PE r-:MIT# bt go 4-OO <br /> Bld. ddn/Rem Size p-1-1p7- t Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION r, 7, 9 Li Nonresidential Use <br /> Number of Stories / Residential Use <br /> Occupancy Group 13 Proposed No.of Dwelling Units: <br /> !Occupant Load j,4.1.,11- Total No. of Dwelling Units: <br /> Basement No-_ Yes— Fin / Unfin I Landscape or Planning Inspection <br /> Type of Construction ' . needed before final? Yes_ No_ <br /> Existing Sprinkler System? Yes-g No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes 14. No_ Phone#: <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Yes No_Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes IS 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_ #of Net New Units: <br /> Add'I RCW 64.55 does required prior to final?Yes No-)? Calculated School Impact Fee: <br /> Architectural Approved By/Date: ), ,J/ /j School Impact Fee Credit: <br /> Structural Approved By/Date: _---- Total School Impact Fee Owed: <br /> Comments: Comments.: N4 <br /> ItA <br /> Intake OK by: YCJICI'kl 4q2 Intake OK by: Ok to route _ Hold <br /> Make this a"W"Permit? Yes_ No <br /> — <br /> INTAKE: Checked B 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 Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: 43." Date: 1/ 2- <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 p9RE®EPA►RTGUiEN <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: noer \ �`d ` + <br /> 1 V1 Lee-9 <br />