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FOR OFFICE USE ONLY PERMIT# N1«-(2,- oot g <br /> BUILDING <br /> ;, PLANNING "> . <br /> Bldg/Tl/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement rJ <br /> VALUATION Nonresidential Use I S.LwYQn;- <br /> Number of Stories Residential Use <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 X <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approved by: Date: 10— 1-1 <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: jr-J414 t$ School Impact Fee Credit: <br /> Structural Approved By/Date: `"� Total School Impact Fee Owed: <br /> Comments: Comments: UN,?i-- \, b2 se-k back tv,+nien <br /> VSi\0�1 Stet- 1Q),)ek <br /> ), \�x <br /> Intake OK by: 1fi,� Intake OK by: Ok to route _ Hold _ <br /> Make this a"W" ermit? Yes No <br /> PUBLIC WORKS, <br /> FEES 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 0 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 PW REVIEW: PW Reviewer: Date: <br /> Water Fee 0 PW Permit Approved-PW <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:DtPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes_ No, Existing Bldg.I <br /> Update/New Detection Yes/' No_ Existing Bldg. <br /> Update/New Chemical Yes f No_ Existing Bldg..,/ <br /> Update!New Fire ervice Y s—_ No. Existing Bldg. <br /> Approved by: ��-�' Date: P--/0--lib <br /> Comments: <br />