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FOR OFFICE USE ONLY PERMIT# j 4 O2$ <br /> BUILDING PLANNING <br /> BldgfTl/Addn/Rem Size # (/ALL 4.0D1✓ 4,00022) Zoning Classification <br /> Garage Size A%f Overlay/Agreement <br /> VALUATION ' /50O 00 Nonresidential Use <br /> Number of Stories / Residential Use <br /> Occupancy Group S Proposed No. of Dwelling Units: <br /> Occupant Load / Total No. of Dwelling Units: <br /> Basement No A Yes_ Fin / Unfin Landscape or Planning Inspection ' <br /> Type of Construction /8 needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Y No 2C Phone#: <br /> Reason Appro ed by: Date: T//g/l I g <br /> Existing Fire Alarm Yes_ No_Unk)C Historic Approved by: ----Date: ----- ttt <br /> Fire Alarm Required Yes_ No )/ 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_ #of Net New Units: <br /> Add'I RCW 64.55 docs required to final?Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved By/Dat School Impact Fee Credit: <br /> Structural Approved By/Date: iii e '�i/Aus Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: 4-‘115 -6,/iIntake OK by: Ok to route _ Hold <br /> Make this a"W" ermit. es No <br /> P•BLIC WORKS. <br /> FEESINTAKE: Checked By:...`" _ Date: 20 <br /> Plan Check Fee Comments: No ,® : ci,;*„� <br /> Building PermitQ ,SSC 0Y- int74 <br /> � Sy <br /> S' <br /> High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check gPublic 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 te�vie��woQ(separate gre fo der) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer s _-i- Date: 1 2018 <br /> Water Fee 0 PW Permit Approved-PW ' <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee ZPW 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: 1 \J,A._.-- -- Date: 7—Z'(—(3 <br /> Comments: <br />