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FOR OFFICE USE ONLY PERMIT# e 1`1,15 b- Op3 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn( em)Size XX/5 /4,(1t, Zoning Classification V.,- ‘e_- <br /> Garage Size Overlay/Agreement <br /> VALUATION Z.c/ <br /> 0..90 Nonresidential Use .r------ <br /> Number of Stories Z Residential Use '�R <br /> Occupancy Group 12- Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No.,..)e 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 by: 60 Date: 3 (QQ 1 24k <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: d/' Date55, // School Impact Fee Credit: <br /> Structural Approved: Date: Total School Impact Fee Owed: <br /> Comments: 2_0/6- /,zL Itis"„� C ; : 6, \ \AR.J . ZA j AO 6v`0A <br /> Intake OK by OR 6.4.v \ Ie t'^\'‘c d4 C\\ Ity <br /> Intake OK by: Date: II! <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date. <br /> Plan Check Fee Comments: AA ihi-tYip✓' <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: <br /> Water Fee ❑ PW Permit Approved- PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 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: -----Th. <br /> Comments: (714 <br />