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FOR OFFICE USE ONLY PERMIT# I1O(p" 010 <br /> BUILDING . • <br /> ... PLANNING <br /> Bldg/TI/Addn/ em Size EA.C1/4J(,a Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 01000 Nonresidential Use <br /> Number of Stories Residential Use ( 522 <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No_ Yes at 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 /> Reason - -e e •ved by: V-,, , y '' Date: (.0• 'Z( t <br /> Existing Fire Alarm Yes_ No_Unk_ •isto ' Approved by: �;" Date: <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: .cJ J-- 6/Z4V/F. School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: /s-//cc tur6c.. Comments: <br /> Intake OK by: O(/-i a, rin } Il Inti Intake OK by: Ok to route Hold X <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEES .i 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: k8 Date: 6- /4-/ 7 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet rr <br /> Systems Dev. Fee I41 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 />