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FOR OFFICE USE ONLY PERMIT# tn 1g 0 rj 'o Y <br /> BUILDING <br /> PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification CS — 3 <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No. Yes_ Fin / Unfin Landscape or Planning Inspo ion <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#: <br /> Reason Approved by:(------ 16:7 Date: 5-6_0 i 2-OlY <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 'st <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No_ #of Net New Units: <br /> Add'I RCW 64.55 docs required prio to final?Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: School Impact Fee Credit: <br /> Structural Approved By/Date: s��i� dS/O/2e/r Total School Impact Fee O ed: <br /> Comments: Comments: <br /> Intake OK b4g --e1:4471.7.424----- Intake OK by: Ok to route _ Hold — <br /> Make this a"W"Permit? Yes No <br /> PUBLIC. K WOR <br /> S <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: 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'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:Comments: / <br />