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FOR OFFICE USE ONLY PERMIT# ) D6(/--04 ✓ <br /> PLANNING.. . <br /> BUILDING <br /> Bldg/TI/Addn/Rem Size Zoning Classification Q-Z <br /> Garage Size Overlay/Agreement <br /> VALUATION 1Z90 Nonresidential Use <br /> Number of Stories I Residential Use 046gAneel <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Nok Yes Fin /'Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No X <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason Approved by: �„• Date: <br /> Existing Fire Alarm Yes_ No_Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No'X <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: ' 7 //3 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: '1O/5 I L Comments: ...14t .re,=oiit..„-- ersi. <br /> o 1.)0\5 <br /> Intake OK by: Intake OK by: X.-k Ok to route X. Hold _ <br /> Make this a"W"Permit? Yes No <br /> P gL(C; <br /> WORKS <br /> FEES . INTAKE: Checked By: g Date: . J . <br /> Plan Check Fee Comments: Aifl PFJ suf8. _ G®lf- , Poi CYt. IS <br /> Building Permit t bU11 1 fermif <br /> Surcharge High Hazard Sites�Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check %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 Review(separate gre n fol er) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: i F-4- Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee M.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 />