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FOR OFFICE USE ONLY PERMIT#4t%O( - Doti <br /> BUILDINf PLANN N�.. <br /> Bldg/TI/Addn/Rem Size Zoning Classification F— l M v° <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use 12., --CA-k. L._ <br /> Numberof Stories Residential Use ---� <br /> Occupancy Group Proposed No.of Dwelling Units: �> <br /> Occupant Load Total No.of Dwelling Units: r---� <br /> Basement No_ Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No t----- <br /> Existing <br /> '"Existing Sprinkler System? Yes_ No_Unk Planning Inspector: . <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by—/ Date: j f 1C�/ 1 75 <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 Muki -. chool 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 o Calculated Sc.%• Impact Fee: <br /> Architectural Approved By/Date: I(� Schoo pact Fee Credit: <br /> Structural Approved By/Date: � ' `1y ,e al School Impact Fee Owed: <br /> Comments: comments. I co,fit _tofCifrtalAF <br /> vet. Vic. /1 g)6. <br /> coo) <br /> Intake OK by: Intake OK b . Ok to route _ 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/MOAnimals,M• ary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic M .. RPBA- NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Revie bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concur t Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Revie -r: Date: <br /> Water Fee 0 PW Permit Approv:: -PW <br /> Sewer Fee 0 See PW Revie orksheet <br /> Systems Dev. Fee 0 PW Permit ,y' Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRDEPARTMENT <br /> School Mitigation Fee Updat ew Sprinklers Yes_ No_ Existing Bldg. <br /> Upd te/New Detection Yes_ No_ Existing Bldg. <br /> U ate/New Chemical Yes_ No Existing Bldg. <br /> Update/New Fire Service Yes No_ Existing Bldg. <br /> Approved by: Date: <br /> Comments: <br />