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FOR OFFICE USE ONLY PERMIT# CI l(l-Doe <br /> BUILDING ' ` PLANNING <br /> Bldg/Tl/Addn fie' Size IC -Cf Zoning Classification 12-2- <br /> ______ <br /> 2 2_ <br /> Garage Size Overlay/Agreement <br /> VALUATION ii:2-7C- Nonresidential Use <br /> Number of Stories Residential Use j2" <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load �/}� Total No. of Dwelling Units: 1 <br /> Basement No_ Yes () in / Unfin t'4/27I4- Landscape or Planning Inspection / <br /> Type of Construction needed before final? Yes_ No v <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: ------- <br /> Fire Sprinkler Required Yes No_ Phone#: ..---- <br /> Reason Approved y: Date: Ci?I 1 I g <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: c`.1- //3///8 School Impact Fee Credit: <br /> Structural Approved By/Date: /// Total School Impact Fee Owed: <br /> Comments: 2_0/$ / wsigL Comments: , 1 t c— 0 i <br /> VA-11-66/tOIntake OK by: I ')4�! 1� Intake OK by ' ( Ok to route,• Hold _ <br /> Make this a"W" rmit? Yes No <br /> P BLIC WORKS <br /> FEES , INTAKE: Checkedct nBy: f - Date: RS�2¢�!$' <br /> Plan Check Fee Comments: bQ..Aso m -40 €415/4%,-4/0,14 <br /> Building Permit NO PIAI Seyo <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurren Review(separate gre n fo er) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: _ Date: R520/ <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee igt 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: rtd, <br />