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FOR OFFICE USE ONLY PERMIT#Cjl1® U-O <br /> BUILDING <br /> Bldg/TI/AddkRe-6 Size /70c0 •CO Zoning Classification jc- <br /> Garage Size Overlay/Agreement <br /> VALUATION /ZZ)/11100 Nonresidential Use <br /> Number of Stories 2- Residential Use .74 <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No_ Yes ( in Unfin Landscape or Planning Inspection <br /> Type of Construction- ti' needed before final? Yes_ No P4 <br /> Existing Sprinkler System? Yes No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Yes No_Unk Historic Approved by: 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 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: /o/'J//i- School Impact Fee Credit: <br /> Structural Approved By/Date: /V/t4 Total School Impact Fee Owed: <br /> Comments: Comments: p re.,B 6 c - 0 <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes_ No X <br /> UB IC WORKS . <br /> FEES INTAKE: Checked By /Date: 0/ r <br /> Plan Check Fee Comments: ((( <br /> Building Permit <br /> Surcharge Hig Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan CheckPublic 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-Concurre t Revi w(separate gre:n fol.-r) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewe Date: SI <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee ECPW 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 />