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FOR OFFICE USE ONLY PERMIT# &�I0 ~ 04v <br /> :BUILDING <br /> PLANNING <br /> ,A �1 <br /> Bldg/TI/Addn/Rem Size !" Zoning Classification K <br /> Garage Size //�'� Overlay/Agreement C - 0 UA <br /> VALUATION CMCJ 000 Nonresidential Use Y N.O5 \ <br /> Number of Stories /511 . Residential Use <br /> Occupancy Group / "p: Proposed No.of Dwelling Units: <br /> Occupant Load h list Total No.of Dwelling Units: <br /> Basement No_ Yes_ Fin / Unfin j/I/htv Landscape or Planning Inspection <br /> Type of Construction / - needed before final? Yes_ No Nk <br /> Existing Sprinkler System? Yeit No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes- No Phone#: <br /> Reason Approved by: �� Date: \4123 I 2-0\ -/- <br /> Existing Fire Alarm Yes? No_Unk_ Historic Approved by: Date: "— <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes_ No 91\ <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!RCW 64.55 docs required prior to final?Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date:Z„ '� 61401/0 School Impact Fee Credit: <br /> Structural Approved By/Date: "P"----- Total School Impact Fee d: <br /> Comments: Comments: —cm to, Qs Q sk est G'\&lAgA a c152(s) <br /> e\ of s <br /> t, Q tk O <br /> Intake OK by: , Intake OK by: Ok to route _ Hold <br /> Make this "W" Permif? Yes No <br /> Ma ea _ _ <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 ❑ 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: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee 111.PW Permit Not Required "TAA„tiAn 6 k Qi <br /> Traffic Mitigation Fee <br /> Public Works Fee ' FIRE;DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes V No_ Existing Bldg._ <br /> Update/New Detection Yes '� <br /> No_ Existing Bldg. <br /> Update/New Chemical Yes_ No `f Existing Bldg._ <br /> Update/New Fire Service Yes_ No Existing Bldg._ <br /> Approved by: ;r c., 5 Date: 11 -2 t 'd 7 <br /> Comments: <br />