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FOR OFFICE USE ONLY PERMIT# 61 7 ( C '033 <br /> BUILDING " PLANNING..,:. <br /> Bldg/TI/Addn/Rem Size Ct.q S S,/ Zoning Classification (4, (� <br /> Garage Size /(//A Overlay/Agreement COA\CGju <br /> C\ cezoNe i C .O *sic <br /> VALUATION 7o 5.C8 Nonresidential Use --____, <br /> Number of Stories I Residential Use a VL1 <br /> Occupancy Group `R„ Proposed No. of Dwelling Units: �/ <br /> Occupant Load Total No. of Dwelling Units: L� <br /> Basement No J Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction .V needed before final? Yes_ No'( <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason Approved by: Q Date: \C)11(1) k .O C - <br /> Existing Fire Alarm Yes No Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No j. <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: Sit' /a/9/17. School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee O ed: <br /> Comments: 10/5- /,zC It 4..)fuC Comments: <br /> Intake OK by: Intake OK by: Ok to route _ Hold <br /> Make this a"W"Permit? Yes No L- <br /> P BLIC WORKS <br /> FEES INTAKE: Checked By: Date: � <br /> Plan Check Fee Comments: Are ���� - e <br /> Building PermittJ <br /> Surcharge A)-::4'E-lazard Ss(Dent Animals, c-Review for RPBA) <br /> Additional Plan Check 11,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 view separate green//fold-r) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: /r / ' <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee IgrPW 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 /> Comments: <br /> kv/Z <br />