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FOR OFFICE USE ONLY PERMIT# \S\10 OOL <br /> BUILDING PLANNING <br /> Bldg/TUAddn/Rem Size Zoning Classification t <br /> ._ \ <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use ce_5NR4.\- <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 <br /> Existing Sprinkler System? Yes No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: --- <br /> t. <br /> Reason Approved by: ('—.'V Date: /2,4 12-0 <br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved by: "-- Date: —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: Date: I School Impact Fee Credit: <br /> Structural Approved: Date: 4. 2t�- Total School Impact Fee Owed: <br /> Comments: ,V _ r .� vow�� � l t ,`Ill Comments: ‘E C'0 `R` 4 CPC\c\.3V,( ,.OSQ <br /> Vi <br /> ) o V\e,\NY � �l\S Vt)Z)/.S2-&. NA- r\ S Clii <br /> Intake OK by: e Date: Intake OK by: ( �I C_4 a 0 v Q�X-,: -\-\\, AO <br /> ) ( I 62Q ^ 9,.� 8(x &. <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 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 /> C4-f.,_ <br /> Comments: <br />