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FOR OFFICE USE ONLY PERMIT# C/�gO 3-00Z- <br /> BUILDING <br /> 00ZBUILDIN <br /> Bldg/TI/Addn/ ei ize '2. 0g Zoning Classification �-- 1 <br /> Garage Size Overlay/Agreement <br /> VALUATION (011-1 9S-0 Nonresidential Use <br /> Number of Stories Z. Residential Use cSIX2_ <br /> Occupancy Group la.AA Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No 1(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 bye tc\‹.-L. Date: 571,C0( 2 C)l7 <br /> Existing Fire Alarm Yes_ No—Unk_ Historic Approved by: Ar- 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: �$/4f/1 , School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed. <br /> Comments: O f"Lc_ • (/l) Comments: <br /> 111' <br /> Intake OK by: Intake OK bye Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes No VV�\ <br /> PU LIC <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 ErPublic Works/Sys Dev/Traffic Mit.I RPBA-NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent eview(separate gre n f !der) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer' Date: 3 >S <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 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 /> 1/A,tkreiVA-A"-k) <br />