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FOR OFFICE USE ONLY PERMIT#VA ` -046 <br /> BUILDING PLANNING. <br /> Bldg/Tl/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 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_ 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: 10_16,t'1 <br /> Existing Fire Alarm Yes_ No_Unk Historic Approved 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: School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: ),feyr rete. 115l..ptl Comments: ‘.)dr (Z. 3 <br /> 6111.2%/I7- <br /> Intake <br /> t11at/I}Intake OK by: Intake OK by: .4 Ok to route Hold _ <br /> Make this a"W"Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: ? Date: 9 7e9--/ 7 <br /> Plan Check Fee Comments: etta70 pate /h <br /> Building Permit Have cek- i r¢v/QCA)„ <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-Concurrent7�e view(separate green fol er) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: b 1 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee ❑ ee PW Review Worksheet <br /> Systems Dev. Fee PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee =. FIRES DEPARTMENT ~ <br /> School Mitigation Fee •// Update/New Sprinklers Yes_ No_ Existing Bldg._ <br /> I P T �� �.��- Q� ` Update/New Detection Yes_ No_ Existing Bldg._ <br /> X if Update/New Chemical Yes_ No_ Existing Bldg._ <br /> Update/New Fire Service Yes No_ Existing Bldg. <br /> Approved by: Date: <br /> Comments: <br />