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3 <br /> FOR OFFICE USE ONLY PERMIT# C ,06 4°O <br /> Bldg/TI ••• /Rem Size 4070 -571 Zoning Classification — <br /> Garage Size Overlay/Agreement <br /> VALUATION '2-/ �90 Nonresidential Use r' <br /> Number of Stories I Residential Use tkke <br /> Occupancy Group 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 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: (CY\ ( <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 Dis <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: �/ /5z_ School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee ed: <br /> Comments: ao45 gc_ Comments: f1�` � ,c30‘ q QQLS <br /> (Vt. CCcv��c �J <br /> Intake OK by: (.)"1-1- <br /> ' ' Intake OK by:GraCki Ok to route V7 Hold <br /> Make this a"W"Permit? Yes No <br /> PUBLIC WORKS <br /> FPB. 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 ❑ 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 P REVIEW: PW Reviewer: /50 Date:6"x`17 <br /> Water Fee PW Permit Approved-PW f k/ /7O(c"003 <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <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: s <br /> Comments: <br />