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FOR OFFICE USE ONLY PERMIT#Vj1gO1 O 39 <br /> BUILDING PLANNING <br /> Bld I ddn/Rem Size 14"002 M-' <br /> � Zoning Classification <br /> Garage Size "' Overlay/Agreement <br /> VALUATION $�$ / OOV Nonresidential Use <br /> Number of Stories .t. Residential Use <br /> Occupancy Group F— Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No X 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 )X No_ Phone#: <br /> Reason ' xi 5+'1/41 Approved Dater(,2 l Z..0 <br /> Existing Fire Alarm Yes X No Unk_ Historic Approved by: Al IN Date: <br /> Fire Alarm Required Yes lX No_ School Mitigation Reqd? Yes No <br /> Reasonk t.S+i i Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes— No X #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No k. Calculated School Impact Fee: <br /> Architectural Approved By/Date: School Impact Fee Credit: <br /> Structural Approved By/Date: ♦ +�1' Total School Impact Fee Owed: <br /> Comments: Comments: <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: Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee VPW Permit Not Required M I V6 1r l6/ <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 />