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D <br /> FOR OFFICE USE ONLY PERMIT# ( 9-1.2., 'CifY <br /> BUILDING , PLANNING <br /> Bldg/TI/Addn .ize e40-Cr f' Zoning Classification Z-7 <br /> Garage Size AIA Overlay/Agreement <br /> VALUATION 7 060 Nonresidential Use <br /> Number of Stories 2„ Residential Use _Aj 'T cq,ratk FifL,. <br /> Occupancy Group 12- Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No cYes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction Jr, needed before final? Yes_ No >C <br /> Existing Sprinkler System? Yes_ No_Unk is Planning Inspector: <br /> Fire Sprinkler Required Yes_ No X Phone#: <br /> Reason Approved by: /11V,• Date: H i.'K <br /> Existing Fire Alarm Yes_ No_Unk'( Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No A School Mitigation Reqd? Yes_ No )C <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No )C #of Net New Units: <br /> 7----- <br /> Add!RCW 64.55 docs required prior to final?Yes_ No ix Calculated School Impact Fee: <br /> Architectural Approved By/Date: //1/0 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Zo/6--- l46 Comments: <br /> J44_, <br /> Intake OK by: Intake OK by: .r--14- Ok to route X Hold <br /> Make this a"W" Permit? Yes No <br /> R BLIC-WORKS <br /> FEES INTAKE: Checked By: Date: 12////14".� <br /> Plan Check Fee Comments: C PW p .t.i'Y!f T7/r n 0-11YIc t <br /> Building Permit ttAtik (2 yI s ') <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 '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 18:1 <br /> Wrr REVIEW: PW Reviewer:G Date: r`Zl(3l?� <br /> Water Fee J'I PW Permit Approved-PW 412-fl, 3.- <br /> Sewer Fee 10 See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIREDEPARTMENT . <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 />