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FOR OFFICE USE ONLY PERMIT# /27['b <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 2-SO SF Zoning Classification <br /> Garage Size `7 - Overlay/Agreement <br /> VALUATION 000,00Nonresidential Use re4.61 <br /> Number of Stories 2- Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load ifq Total No.of Dwelling Units: <br /> Basement No 2(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 k- Phone#: <br /> Reason Approved by: � Date: \ t11b <br /> Existing Fire Alarm Yes_ No_Unk jC Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No )C 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 . '•r to final?Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved By/Dat . / School Impact Fee Credit: <br /> Structural Approved By/Date: "'II '4►. 0®��kJ Total School Impact Fee Owed: <br /> Comments: Comments: ' tte..._ O� Qacie�rior <br /> CAAa ose t, C'Qxh c'j or a , OF S <br /> pero <br /> Intake OK by: t) 1� Intake OK by: Ok to route _ Hold er <br /> Make this a" 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 gree folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: ///l Date: A I <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee r! See PW Review Worksheet <br /> Systems Dev. Fee 'LW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee <br /> ORE DEPARTM€NT, ;," <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 />