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FOR OFFICE USE ONLY PERMIT# Bk R\- Dt�' <br /> • BUILDING , PLANNING <br /> BI`>ifi" ddn/Rem Size TOO E Zoning Classification 2t U O <br /> Garage Size Overlay/Agreement M V 0 <br /> VALUATION S G. 1 0 Nonresidential Use TVA: lQte,cf•-- <br /> Number of Stories / Residential Use .....--- <br /> Occupancy <br /> Occupancy Group 5 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 V— needed before final? Yes_ No <br /> Existing Sprinkler System? Yes— NOP Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No-6Phone#: `/ <br /> Reason Approved by: V. O Date: 11 — 17 <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yerb No— School Mitigation Reqd? Yes— No x <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/Dater (�jl HdWi'7 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: <br /> �! /t )tr Intake OK Okto route HoldIntake OK by: by: — — <br /> Make this a"W" 43 mit? es_ No <br /> P BL C WORKS <br /> FEES INTAKE: Checked By. Date: 1� <br /> Plan Check Fee Comments: Kit i w `eln <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check Z'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-Concurren Review(separate gre-n fader) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: fl 3 21 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee Er PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT , <br /> School Mitigation FeeUpdate/New Sprinklers Yes No_ Existing Bldg_ <br /> Update/New Detection Yes No_ Existing Bldg. <br /> Update/New Chemical Yes_ No ,/r Existing Bldg. <br /> Update/New Fire Service Yes_ No ✓Existing Bldg. <br /> Approved by: PGif'r,, . Date: I I r 21 ° t <br /> Comments: <br />