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FOR OFFICE USE ONLY PERMIT# t Ii \,7-0 I co <br /> .., <br /> BUILDING. :' PLANNING <br /> (Bldc l/Addn/Rem Size 35- <br /> Zoning Classification GSO <br /> Garage Size "` Overlay/Agreement <br /> VALUATION /,-C 0 04) Nonresidential Use <br /> Number of Stories I Residential Use --, <br /> Occupancy Group / Proposed No. of Dwelling Units: ,.-- <br /> Occupant Load Total No. of Dwelling Units: .� <br /> Basement NovYes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V `13 needed before final? Yes_ No >C <br /> Existing Sprinkler System? Yes No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes - No_ Phone#: ,fl <br /> Reason Approved by: IL, CJI Date: )2–2-0–I`"7 <br /> Existing Fire Alarm Yes_ No_Unk6 Historic Approved by: / Date: --- <br /> Fire Alarm Required Yes_ No at 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'?f #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes No-7‘ Calculated School Impact Fee: <br /> Architectural Approved By/Date: /r, /1 3 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments 5-/p/no_._ jiprz. Comments: <br /> d v �� iLW Ok to route Hold /� <br /> Intake OK by: Intake OK by: — <br /> Make this a"W" " it? 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/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-Concurren Reviewvi (separate gre n fo der) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: "" ` " Date: / ILib{� <br /> Water Fee 0 PW Permit Approved-PW � <br /> Sewer Fee 0 See PW Review Worksheet /k ,g� <br /> ` e `– <br /> Systems Dev. Fee X PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPAR HENT <br /> School Mitigation Fee Update/New Sprinklers Yes 7)10 Existing Bldg. <br /> Update/New Detection Yes / No_ Existing Bldg. <br /> Update/New Chemical Yes_ No / Existing Bldg._ <br /> Update/New Fir Service Yes_ No Existing Bldg. <br /> Approved by: ` (j,tjt ,r Date: 1^/$ ......rty <br /> ,14,,s,.. <br /> Comments: <br />