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FOR OFFICE USE ONLY PERMIT# OC865eiti3 <br /> BUILDING PLANNING '. <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 65— 420 Nonresidential Use <br /> Number of Stories / Residential Use C LOW-4 S <br /> Occupancy Group Proposed No. of Dwelling Units: • <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No YesX Fin / dIBP Landscape or Planning Inspection �I <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 by: it Date: &—7> II ct <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: ' Z9`// School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 9/S /Ac._ SACC.... Comments: <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W" Permit? Yes_ No X <br /> P WORKS <br /> FEEs INTAKE: Checked <br /> LIC <br /> Date: <br /> Plan Check Fee Comments: 14 pbu <br /> L <br /> Building Permit f�� 4� urfA -'A /l't lIt?f/Se <br /> Surcharge LliV Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan CheckPublic 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 3eview separate gre n fol r) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer,; c Date:5 <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee g-PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FRE 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 /> s VO <br />