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FOR OFFICE USE ONE= PERMIT# S?* O S —042 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 14 / --b Q'7'POO Zoning Classification E— ‘ /i\kU\Q) <br /> Garage Size Overlay/Agreement <br /> VALUATION T i-II d , SD 0 Nonresidential Use free, 6 <br /> Ae esr <br /> Number of Stories / Residential Use <br /> Occupancy Group nAks Proposed No. of Dwelling Units: <br /> Occupant Load 0,1A Total No. of Dwelling Units: .--.� <br /> Basement No',Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction (/ — r3 needed before final? Yes_ No y <br /> Existing Sprinkler System? Yes 24- No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes*- No_ Phone#: <br /> Reason Approved by: C-CZP Date: lifia2y I il <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 - ool Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No-)S.' <br /> #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No.%V Calculated School Imp- Fee: <br /> Architectural Approved By/Date: 74,651r G7 School Impact Fe- redit: <br /> Structural Approved By/Date: Vis' 7 2. I- Total School Impact Fee Owed: <br /> Comments: ' Comments: <br /> Intake OK by:` ' / /1.+- Intake OK by:_ Ok to route _ Hold _ <br /> Make this a" �•ermit? Yes No <br /> PUBLIC WORKS <br /> 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: A-13 Date: 5-25t"I 7 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee E3 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 /> Comments: <br />