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FOR OFFICE USE ONLY PERMIT# GI rbb(o'1)0 <br /> BUILDING►-� PLANNING <br /> Bidg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 708® Nonresidential Use <br /> Number of Stories ( Residential Use rs <br /> Occupancy Group P--/U 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 , needed before final? Yes_ No 1C <br /> Existing Sprinkler System? Yes No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approved by: W• J Date: (o.12-1.4 <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No X <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 '7,1//be, School Impact Fee Credit: <br /> Structural Approved By/Date: ' Total School Impact Fee Owed: <br /> Comments: 7/ fi/t 64,/_,( C_ Comments: ^ f0 jej <br /> 0, <br /> 5 ,- 2— 5i +p�� <br /> Intake OK by: CA-1-1" Intake OK by: Y--* Ok to route _ Hold A_ <br /> Make this a"W"Permit? Yes_ No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <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 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: 6/cf <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 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: t� <br />