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FOR OFFICE USE ONLY PERMIT# t YC' (O")1 <br /> BUILDING • PLANNING <br /> Bldg/TI/Addn/Rem Size f ./P., Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 00 Nonresidential Use <br /> Number of Stories ` Residential Use <br /> Occupancy Group }r� Proposed No.of Dwelling Units: <br /> Occupant Load , Total No.of Dwelling Units: <br /> BasementNo`� Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction 6 needed before final? Yes_ No X <br /> Existing Sprinkler System? Yes' No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes"e No_ Phone#: <br /> Reason Approved by: 1(.., a Date: 'J- Z1' )c‘ <br /> Existing Fire Alarm Yes 7 No_Unk Historic Approved by: Date: <br /> Fire Alarm Required Yesc, No School Mitigation Reqd? Yes No $ <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: 1-1115C– i,Q19/2./$' School Impact Fee Credit: <br /> Structural Approved By/Date: -- Total School Impact Fee Owed: <br /> Comments: Comments: I,,, ',e oT <br /> afe.4 °• o • f2( - <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <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: 3z-7-- <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: <br /> ,Y(}V l �//Y <br />