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FOR OFFICE USE ONLY PERMIT# )V' f O 00(0 <br /> BUILDING: . . .' ; PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification S2 1_ <br /> ' -Size V( j 73 S COck Overlay/Agreement <br /> VALUATION '4132S Nonresidential Use <br /> Number of Stories ) Residential Use 517_._,_ <br /> Occupancy Group u Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: 1 <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_ No_ Phone#: <br /> Reason Approved by: , Date: q---7-0--,f—7 <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_ #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: q//3//- School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: 1c4F Intake OK by: Ok to route _ Hold _ <br /> Make this a"W" Permit? Yes ) No <br /> BL C <br /> FEES INTAKE: Checked By:_ WORKS DateI I <br /> Plan Check Fee Comments:S7sp d&c.lc cuh'iiGttiL1OBuilding Permit r ! <br /> vixt /: - 0 it pet.ti-011-1.0g <br /> Surcharge <br /> FM Hazard Sites(Dental/Medical,Animals,Mo uary,etc-Review for RPBA) <br /> Additional Plan Check 4 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent eview(separate gre n fol r) <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 1141 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee <br /> 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: ,e'`' .' <br />