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FOR OFFICE USE ONLY PERMIT# bOb0"-. 2/V <br /> BUILDING PLANNING :'. <br /> Bldg(OAddn/Rem Size [7-3(P Zoning Classification <br /> Garage SizeOverlay/Agreement <br /> // <br /> VALUATION t '3 03 G Nonresidential Use <br /> Number of Stories I Residential Use <br /> Occupancy Group 12 Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No_ Yes or/ Unfin Landscape or Planning Inspection <br /> Type of Construction ► needed before final? Yes No A <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by: ( 19 Date: %IO' 1Zd\- <br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved by: nJ IN- 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: 7/2•51/13 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Zoic ac. (,of66 Comments: • ec04\. \‘[.Q ,V2h sS Y\o\- ye/A.4 <br /> • t\\tecaX` N Crtcc\ ktea,: ;n��.,Lk&k' c t&0.\ <br /> tk?_ "'^ rn�nsc ��as c�rew. cAckmv, 11.440 . <br /> Intake OK b : CJV f` Intake OK bOk to route Hold <br /> Y Y — <br /> Make this a"W"Permit? Yes_Co <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: /�� �/� n <br /> Building Permit r" Q¢ ��iQ /�U `�mJ0,/t k <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: <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: ,n of <br />