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FOR OFFICE USE ONLY— PERMIT#a 19 - OO <br /> BUILDING <br /> • #'LANNING <br /> Bldg/TI/Addn/Rem Size J ,)(/S7IU Zoning Classification <br /> Garage Size Overlay/Agreement (KIK <br /> VALUATION /it rap Nonresidential Use <br /> Number of Stories ,. Residential Use ooevbs <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: (i <br /> Basement No Yes , Fin I gatal- Landscape or Planning Inspection <br /> Type of Construction Itg 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: zq <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: 14151' 9.ecf, Date: pnt) <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: Vddf i //2,5- €5 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 2.,� — `�cr� �.- Comments: \ <br /> ( t\oC'c,�o - ._(10 <br /> e_Y -(t( CVl ,(Q,JI <br /> oier044 c s -rit 5 <br /> Intake OK by: tit- Intake OK by: Ok to route )C Hold <br /> Make this a"W"Permit? 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 f I r) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: / <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee - 0 See PW Review Worksheet <br /> Systems Dev. Fee 1,31 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FRE 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 SerYes_ No /Existing Bldg. <br /> Approved by:( �� _ <br /> vice Date: 2-1-1 t <br /> Comments: <br /> ( T]i) <br />