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FOR OFFICE USE ONL. PERMIT# C/ • //l <br /> 1111 <br /> BUILDINta • <br /> ;: PLANNING. , . . : . . . <br /> Bldg/TI/Addn/Rem Size f t 6-3 £ Zoning Classification <br /> Garage Size OOverlay/Agreement <br /> VALUATION 42-'1 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 g Yes_ Fin / 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 • ate: 2/Z 5/6 <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 J2q f/ School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 2 0" !Z /Ac iv C6C.: Comments: <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W" Permit? Yes No <br /> • PUBLICWORKS. <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: )'8 Date: // •30 -17 <br /> Water Fee Z 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: <br />