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FOR OFFICE USE ONLY PERMIT# e I 1 010"V 143 <br /> ;BUILDING PLANNING <br /> Bld /TI/Addn/Rem Size 1,Co C� i <br /> g Zoning Classification <br /> Garage Size -" Overlay/Agreement wtg.(rl✓ p (`t/, <br /> VALUATION 'Q-q ' ' t$ Nonresidential Use M40 4`c-1--w 1( . <br /> 4)3/ <br /> Number of Stories J--- Residential Use <br /> Occupancy Group A. - 17 Proposed No.of Dwelling Units: -.---- <br /> Occupant Load ``06 Total No. of Dwelling Units: <br /> Basement NoX Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction \1 needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No7"Unk_ Planning Inspector: -- <br /> Fire Sprinkler Required Yes_ No `,e Phone#: <br /> Reason Approv by: , _ Date: (O 2/ /-7— <br /> Existing Fire Alarm Yes_ No Unk Historic Approved by: 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 ✓ #of Net New Units: <br /> Add!RCW 64.55 docs required prior to final?Yes No +'/ ,,/ Calculated School Impact Fee: <br /> Architectural Approved By/Date: j�' ,� 2�J ri' School Impact Fee Credit: <br /> Structural Approved By/Date: �/ 24`1-- Total School Impact Fee Owed: <br /> Comments: 4 Comments: <br /> r <br /> Intake OK by: Intake OK by: Ok to route _ Hold <br /> Make this a"W"Permit? Yes No <br /> PUBLIC WORKS <br /> FEES, ; INTAKE: Checked By: 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: W29 Dater`1e)" it <br /> Water Fee �PW Permit Approved-PW 170 3 - O Z 1 <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'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 />