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FOR OFFICE USE ONLY PERMIT# G f,65-0 <br /> BUILDING.' <br /> PLANNING.,. <br /> Bldg/TI/Addnize _ Zoning Classification <br /> Garage Size 'L2, . Overlay/Agreement -- <br /> VALUATION /5) 7 Nonresidential Use 1 <br /> Number of Stories / Residential Use 3 1 ( c\Aeh <br /> Occupancy Group lot cc °4§ <br /> Occupant Load Total No.of Dwelling Units: Qls(tk <br /> Basement No)( Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction Tte needed before final? Yes_ No N <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: Date:S((.`L-(�\�- <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 D. <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: -//7 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee O ed: <br /> Comments: Comments: <br /> Ste. ptFij W40.tQV- tC1(n5Vs-- <br /> cec oc && 1 ei5 V)4' ►kc` �oY 4kNo " <br /> Intake OK by: �)t.I Intake OK by:_YuD G A.( th Okto 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: k/P Date:5:-/8-17 <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 FIREDEPARTMENT <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: y" <br /> Comments: <br />