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FOR OFFICE USE ONLY PERMIT# & 2I77 3-0&42"`" <br /> BUILDING PLANNING <br /> Bldg I/Addn/Rem Size r® 0 LI 7 L� Zoning Classification \ <br /> Garage Size — Overlay/Agreement <br /> VALUATION Yt //O/d GO:, Nonresidential Use <br /> Number of Stories / Residential Use . ... I <br /> Occupancy Group E—....3Proposed No. of Dwelling Units: �— <br /> Occupant Load n/06,>> Total No.of Dwelling Units: '— <br /> Basement No_ Yes in I Unfin Landscape or Planning Inspection / <br /> Type of Construction 1'/ needed before final? Yes— No`X <br /> Existing Sprinkler System? Yes NO2? Unk_ Planning Inspector: -- "— <br /> Fire Sprinkler Required Yes_ No Phone#: ��' f€Vj' c \ \O/2.4 !Jlir C*/"C:7 <br /> Reason Approved by: C"--)c Date: S n l c <br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved by: ----- Date: ,--- <br /> Fire Alarm Required Yes_ No1 School Mitigation Reqd? Yes_ No <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes 14 #of Net New Units: <br /> ,--- <br /> Add!RCW 64.55 docs required prior to final?Yes_ Nd Calculated School Impact Fee: <br /> Architectural Approved: Date.6770 /> School Impact Fee Credit: ,------- <br /> Structural Approved: Date: Total School Impact Fee Owed:— <br /> Comments: Comments:`\ AQ\` -Qz� <br /> cf.;S`\�1\% -®, i Q3\ . d`. %{` <br /> polidw � 'We Intake OK by: Ge <br /> Intake OK by: Date: ?!'1 3 <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: n Date: 3-13-17 <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 Public Works/Sys Dev/Traffic Mit./RPB -NOT REQ <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 0 PW Permit Approved-PW <br /> Sewer Fee 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: i <br />