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FOR OFFICE USE ONL PERMIT# C/006- 1/9 <br /> BUILDING PIANNIR40, I. <br /> Bldg/TI/Addn/Rem Size 19(449 Jt Zoning Classification <br /> Garage Size ''Si I Overlay/Agreement <br /> VALUATION 2'4?i 4-7O Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group t``oti Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No y Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction ri? needed before final? Yes_ No_ <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approved • ,14/ 'ate: BJ7�j/('7 <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Appro ed by: Date: <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 prior to final?Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: S/2ql/-72 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 2,0a ft Z(t Comments: <br /> Intake OK by: Intake OK 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: ,k'B Date: //'3'O f' <br /> Water Fee El 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 />