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FOR OFFICE ��' ONLY PERMIT f# ���w � �� -/ ` <br /> BUILDING PLANNING <br /> K/ \ <br /> Dldg/TkAddn/RomGizy��C� <br /> Size S7/� <br /> lZoning Classification <br /> Garage Size � - ' <br /> ' ^ <br /> VALUATION <br /> Nonresidential Use <br /> Number of Stories � Roo' Uoo / <br /> " ~^ '~~ -~'� `� i /»^"^` ^-°A 7 <br /> Group <br /> OcouponnyGup �_�� . <br /> . ProposedNo�ofD�oUingUn�� <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No X Yes Fin / Unfin Landscape or Planning Inspection <br /> ~� <br /> Type ofConutmobon ~���~ needed before final? Yes No <br /> Existing Sprinkler System? Yes NoUnkPlanning Inspector <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: Date: ^~f°~ <br /> Existing Fire Alarm Yes NuUnk___ Historic Approved by: JNr 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 reqd for permit? Yes No #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes— No Calcutated School Impact Fee: <br /> -�� <br /> ArchitBy/Date:ecturale� <br /> v� School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: ep/3-74 6iI£c-- Comments: <br /> Intake OK by: Ci'' Intake OK by: Ok to route Hold <br /> Make this a'W'Permit? Yes No <br /> FEES • INTAKE: Checked By: Date: <br /> Plan ChecFee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Syn Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 0 RoutofnrPub|ioVyndmReview(b|dgfo|dnr. PVVVVorkohoet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: ��«~» Date: 7��� <br /> Water Fee �l PW Permit Approved-PW <br /> Sewer FeeSee PW Review Workshet <br /> Systems Dev. Fee PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE EPA MEN <br /> School Mitigation Fee Update/New Sprinklers Yes No Existing Bldg. <br /> Update!New Detection Yes No / Existing Bldg. <br /> ___ <br /> Update/New Chemical Yes Nn ./"Existing Bldg. <br /> ___ <br /> Update/New FiNo »' Existing Bldg. <br /> Approved by: Data: )-3— <br /> Comments: ' <br /> \ bv <br /> ^ `' <br />