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FOR OFFICE USE ONLY PERMIT# Vt1OIO l c <br /> BUILDING <br /> PLANNING.. <br /> Bldg/TI/Add /Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement C <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: LI <br /> Basement No_ Yes_ Fin / 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 Approved by: 1L• d Date: 1-fl-S i <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 School Dist <br /> /=�1 <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:/l/EG (4-PLe" 7/(x((7 School Impact Fee Credit: <br /> Structural Approved By/Date: ii'�' f ( (t Total School Impact Fee Owed: <br /> Comments: LE Sc `rf 4 /Q td n_ ALW 64.0. Comments: k -o •iorile.An'oi– bAcuf 1 rew47403/ <br /> 0.Qo::r O+� tAc. t1-' w041.- ,Pt.Akiawc.�a or"gpe.Q,.e�l <br /> ail 0� :y w� <br /> 1vQ <br /> . <br /> Intake OK by: Y�h IntakeIntake by: 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/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: .21 Date: w v5-/ 7 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee ,FIRE i DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes_ No''1 Existing Bldg._ <br /> Update/New Detection Yes_ No Existing Bldg._ <br /> Update/New Chemical Yes_ No '" xisting Bldg. <br /> Update/New Fir Service Yes_ No Existing Bldg._ <br /> Approved by: j -ti I– Date: 12-I 1 I J <br /> Comments: <br />