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FOR OFFICE USE ONLY PERMIT# "61 1 b 5-t6(8 <br /> BUILDING. : . , . ,'PLANNING. <br /> BI girl/ ddn/Rem Size I V( Zoning Classification Q, 2) <br /> Ga e Size • Overlay/Agreement <br /> VALUATION 7 000 Nonresidential Use <br /> Number of Stories / Residential Use 6Aill <br /> Occupancy Group Z a2 Proposed No. of Dwelling Units: <br /> Occupant Load / Total No.of Dwelling Units: <br /> Basement No5 Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V .- j\I needed before final? Yes_ No N4. <br /> Existing Sprinkler System? Yes_ No_Unk-6 Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approved by: K, cs-q <br /> ���\ Date: 1 i <br /> Existing Fire Alarm Yes_ No_Unk Historic Approved by: ,-- Date: <br /> Fire Alarm Required Yes_ No IS School Mitigation Reqd? Yes_ No 'C <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No A #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No X Calculated School Impact Fee: <br /> Architectural Approved By/Date: �%�i_ G 04:2,b'7 School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: Comments: In ibr L a- 4tbiSsi -$2x4e Mcc14 5 <br /> YeAia4)ej or a nal as Pte- op 44.zs fean4 <br /> Intake OK by: �`41t & Intake OK by: Ok to route _ Hold _ <br /> Make this a" mit? Yes No NO <br /> PUBLIC WORK . . . <br /> _ _*___O- <br /> FEES INTAKE: Checked By: /3, Date: <br /> � <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/I9dical,Animals, Mortuary,etc- <br /> Additional Plan Check Public Works,/Sys Dev/Traffic Mit./RPBA- OT REQUIR <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: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE D)`PARTMENT ' . <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: <br /> da, <br />