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fil, <br /> FOR OFFICE USE ONLY PERMIT# � l�-V 4d <br /> BUIL,DIINeGy PLANNING, <br /> /TI <br /> Bld Addn/Rem Size 6Cv J? r Zoning Classification (- 2__ <br /> Garage SizeOverlay/Agreement <br /> VALUATION I I)f°d Nonresidential Use U A P i <br /> Number of Stories / rr Residential Use <br /> Occupancy Group c--'I Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No_ Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction {J K needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No' <br /> Unk_ Planning Inspector: '�— ' <br /> Fire Sprinkler Required Yes— No— Phone#: <br /> Reason Approved • 11 Date: q j4r <br /> ` V <br /> Existing Fire Alarm Yes No_Unk_ Historic Approve. by: Date: <br /> Fire Alarm Required Yes)4 No_ School Mitigation Reqd? Yes No <br /> Reason Everett School Dist Mukil == chool 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 J Calculated Sc.=. Impact Fee: <br /> Architectural Approved By/Date: L _ F/ //Y Sch.• mpact Fee Credit: <br /> Structural Approved By/Date: —= otal School Impact Fee Owed: <br /> Comments: Comments: /V )5.,otG' ��' l, ik- <br /> - i I ',4 I 4.,C,04,--e-°11/1/4t <br /> • VL^��CJ QZ'a"�. <br /> , r <br /> Intake OK by: `�/ � Intake OK .��� Ok to route V Hold _ <br /> ; <br /> Make this a" 'Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit &U in /;K <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: fi3 Date: 7-6---/7 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee PW Permit Not Required Ql f eay i c.ci- o <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes_ No 'xisting Bldg. X <br /> Update/New Detection Yes X No_ Existing Bldg. 9(, <br /> Update/New Chemical Yes_ No /Existing Bldg. ,( <br /> Update/New Fire Service Yes No Existing Bldg.% <br /> Approved by: 1/,G,J Date: 7,-S--I <br /> Comments: • '- <br /> s <br /> z7114- ( 2 <br />