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FOR OFFICE USE ONLY PERMIT# 1 ?/62` OM <br /> BUILD <br /> INC �_� �� _�:� �: PLANNING _.. <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Dt 40 I . / Overlay/Agreement <br /> VALUATION [ 030 Nonresidential Use <br /> Number of Stories 1 Residential Use <br /> Occupancy Group IA Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No_( Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction *S-17 needed before final? Yes No V <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approved 13C----___.54----" Date: °/2-.3 I <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: /I I Date: -- <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes_ No X <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: 3/8//e) School Impact Fee Credit: <br /> Structural Approved By/Date: 6 Total School Impact Fee Owe : <br /> Comments: Comments: <br /> Intake OK by: cAt Intake OK bIrOk to route _ Hold X <br /> Make this a"W"Permit? Yes_ No )( <br /> ,UBLI, WORKS <br /> FEES INTAKE: Checked By: ,f _ Date:_ �� ' %1: <br /> ig <br /> Plan Check Fee Comments: Adi DS y4 r , e -p p 0'4- f ' A l <br /> Building Permit ,./D DE.36' fiht / ,/k <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 E! Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent eview(separate gree f der) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee Permit Approved-PW <br /> Sewer Fee 0 See W Review Worksheet <br /> Systems Dev. Fee igtPW Per 1 Not Required 81$024Iq : ,s , . <br /> Traffic Mitigation Fee No'tA ' '` ',' Af`N <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: �.- 1"-, <br /> Comments: <br />