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FOR OFFICE USE ONLY PERMIT# it( ( 8Q3'Z(A <br /> .. BUILDING . <br /> BI•;/TI/Addn/Rem Size Zoning Classification Ls <br /> Gara�0e Size Overlay/Agreement T`\ iC ��� <br /> VALUA' ION Nonresidential Use sc Z\ <br /> Number o stories Residential Use <br /> 7--. ...----7 <br /> Occupancy G •up Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No. Yes_ Fin / Unfin Landscape or Planning Inspection , <br /> Type of Construction_ needed before final?� Yes_ No`T. <br /> Existing Sprinkler System? -s_ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason Approved by:(' i4� Date: S SQ ` 2-4\x" <br /> Existing Fire Alarm Yes_ _Unk Historic Approved • ' Date: 3/ D l / C� <br /> Fire Alarm Required Yes— No School Mitigation Reqd? Yes No y <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ •_ #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: 413V `p...4i -! ' School Impact Fee Credit: <br /> Structural Approved By/Date •' 0//7f Total School Impact Fee Owed: <br /> e <br /> Comments: Comments: \\� k�C (�,V\Qt.J, ^l!\ ;�I• . <br /> vi j�� r. ' <br /> Intake OK by. .62.%-A. O,T/30/Zvig Intake OK by: -. 0 to <br /> Ok to route 1 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 Flo- rPAN\e-A)' <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: Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 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: (in A� /IAA f <br />