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FOR OFFICE USE ONLY PERMIT# nog-03s <br /> -BUILDING' - PLANNING <br /> Bid !fl/ ddn/Rem Size `31130 0 Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION t 5-c) 000 Nonresidential Use 6010(\ <br /> Number of Stories QC Residential Use ®' <br /> Occupancy Group V Proposed-No.of Dwelling Units: — <br /> Occupant Load 3,5_._ Total No. of Dwelling Units: <br /> Basement No IC Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V`3 needed before final? Yes_ No 1( <br /> Existing Sprinkler System? Yes_ No Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approved by: \tL A Date: �--* -"Lt.-1i <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 25 #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No Calculated School Impact Fee: <br /> Architectural Approved By/Date: Lys Q 06-027' /7 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: A �5'2¢I I I Intake OK by: Ok to route Hold _ <br /> Make this a" 'Permit? Yes No <br /> PUBLIC WORKS <br /> FEES, ; INTAKE: Checked By: , Date: re 72,5/- <br /> Plan <br /> Plan Check Fee Comments: <br /> Building PermitAl\ i -CASV -- 4 <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check il MI Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee ii& ► oute for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee r 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 ❑ See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTME <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 7 xisting Bldg. f <br /> Update/New Fire ervice Yes_ No / Existing Bldg. / <br /> Approved by: '( Date: {-24-0 <br /> Comments: <br />