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FOR OFFICE USE ONLY PERMIT# `g lq-U – C t-'t <br /> BUILDING PLANNING. <br /> Bldg/TI/Addn/Rem Size Zoning Classification g—S <br /> Garage Size S5j 5 Overlay/Agreement <br /> VALUATION '260 q'l q Nonresidential Use <br /> Number of Stories f Residential Use C (--- <br /> Occupancy Group IA 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 t3 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: yL`� t Date: 1'L--'1 X11 <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: S „1A3//f3 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: zo/s- /AC Comments: <br /> n lam' <br /> Intake OK b D `�-�4- CU Intake OK by: y....1).-- Ok to route A Hold _ <br /> Make this a"W"Permit? Yes No <br /> PUBLIC WORKS <br /> INTAKE: Checked By: / S Date: ii 2 <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 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee Public Works Permit-Concurrent Review(separate green folder <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: rip? <br /> Date: 1/Z V�`�13 <br /> Water Fee 0 PW Permit Approved-PW C <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee gPW 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 7' Existing Bldg._ <br /> Update/New Chemical Yes_ No 4 Existing Bldg._ <br /> Update/New Fi e Service Yes No-Existing Bldg._ <br /> Approved by: Date: 3-2y.-va <br /> Comments: / <br /> L� <br />