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FOR OFFICE USE ONLY PERMIT A) ` �O2'005 <br /> BUILDING, PLANNINt <br /> Bldg TI ddn/Rem Size Zoning Classification <br /> Garage Size — Overlay/Agreement _ <br /> VALUATION e42p<=,ta Nonresidential Use t'e\\ � \(„,. ..sr <br /> Number of Stories 3- Residential Use <br /> Occupancy Group 5—Z Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: 7 . <br /> Basement No I Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V'. needed before final? Yes No <br /> Existing Sprinkler System? Yes_ No k Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No X Phone#: <br /> Reason Approved by: Date: '3/(0l ZOI.r <br /> Existing Fire Alarm Yes_ No )( Unk_ Historic Approved by: ,{'3 i AT Date: <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes_ No-A <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No jt #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: C q/1' I . Total School Impact Fee Owe : <br /> Comments: ( Comments: <br /> Sj <br /> // $ /''� �1`eJ�C�� �( G'`� 1�'t.0\A.tC1i1`� ��r�` <br /> Intake OK by: V ' /'( f Intake OK by: ` � Ok to route 1\ Hold _ "3 <br /> Make this a"W ermit? 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 green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: .Date: 0/6 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet 2vb <br /> Systems Dev. Fee PW Permit Not Required Ates., <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT. <br /> School Mitigation Fee Update/New Sprinklers Yes_ No /Existing Bldg. 7 <br /> Update/New Detection Yes_ No 7 xisting Bldg. <br /> Update/New Chemical Yes_ No Existing Bldg. , <br /> Update/New Fire Service Yes_ No xisting Bldg. A, <br /> Approved by: Date: .. --2,-2- \\, <br /> Comments: <br />