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FOR OFFICE USE ONLY PERMIT# k'4a1 - 021 <br /> BUILDING PLANNING <br /> Bldg/Tl/Addre Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 47000 Nonresidential Use <br /> Number of Stories ` Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No_ YesX m 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: Date: 21 <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 Di <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: `1/20 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Zo/S //2 WS'S Comments: , V C \fk <br /> Intake OK by: Intake OK by: Ok to route Hold <br /> Make this a"W"Permit? Yes_ No k <br /> PUBLIC WORKS. <br /> FEES . <br /> INTAKE: Checked By:s-b,4" Date: -917 <br /> Plan Check Fee Comments: khl Zhc GU':1\rki ,'o dt/ <br /> Building Permit Q <br /> Surcharge nri Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan CheckPublic Works/Sys Dev/Traffic Mit./RPBA- NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent eview(separate gr--n f.der) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: Z 7.01 <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 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 />