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FOR OFFICE USE ONLY PERMIT# 15 it 0 2,-6(.0 <br /> BUILDING PLANNING <br /> Bldg/TI/Add AID) ize <br /> 26 Zoning Classification (\2 – <br /> Garage Size Overlay/Agreement <br /> VALUATION /7 95 2 Nonresidential Use �--- <br /> r-- <br /> Number of Stories / Residential Use sr <br /> Occupancy Group 2 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— <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: I <br /> Reason Approved by:C– Date: /-1 to` - 1-a'1,`4 <br /> Existing Fire Alarm Yes_ No—Unk_ Historic Approved by: Date:te <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_ #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved: 4Date�lj7 School Impact Fee Credit: <br /> Structural Approved: Date: // Total School Impact Fee Owed: <br /> Comments: -ao/s. /4C it/saG Comments: <br /> C , �� �`n Intake OK by:, F_ <br /> Intake OK by: �l \--9 Date: `-1 I <br /> UBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: v/� �' f V Li,J� o . ►1Ci',A/surf, <br /> Building Permit I l <br /> Surcharge Hig Hazard Sites(Dental,Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 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(separa a green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:) Date: 20 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee gPW 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_ Existing Bldg. <br /> Update/New Chemical Yes_ No_ Existing Bldg. <br /> Update/New Fire Service Yes_ No_ Existing Bldg. <br /> Approved by: Date: <br /> #....7) <br /> Comments: <br />