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FOR OFFICE USE ONLY PERMIT# C.&:›06—/( , <br /> BU1IDING PLANNING ; <br /> Bldg/TI/Addn/Rem Size / 33 / s g* _ Zoning Classification <br /> Garage Size 5-6,Z s'e. Overlay/Agreement <br /> VALUATION /f 2-, j ic3 Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group �` Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No X Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes No_ <br /> Existing Sprinkler System? Yes_ No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved tr4/,7 <br /> Existing Fire Alarm Yes_ No—Unk Historic Appr ed 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'!RCW 64.55 docs required prior to final?Yes No Calculated School Impact Fee: <br /> Architectural Approved By/Date: ticrcom.. School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: ZJJQ bec. tp li)sL Comments: <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes No <br /> PUBLIC•W.012KS.;> <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: k8 Date: /0' /2,17 <br /> Water Fee PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee P<1RE D1`PAIiTMENT <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 /> 212 <br />