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FOR OFFICE USE ONLY PERMIT# / - /04 <br /> ` ''� ' ' �`�i~`����I" ��``` ��;�' '^ '���r"� <br /> �� ' ' ��� � �i� �� <br /> «�� — - <br /> omxSize e / �ponxnm v ' Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 15— 92-'7 Nonresidential Use -- <br /> Number of Stories Residential Use <br /> Occupancy Group m�^� » Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No m/ Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes No <br /> Existing Sprinkler System? Yes NnUhk� Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved rAllf <br /> iitz//7 <br /> Existing Fire Alarm Yes NoUnk�__ Historic Appi __ <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes No <br /> Reason Exen*ttSnhno(DimdK8uki8enSchmo|Diot____ <br /> RCW 64.55 ME worksheet req'd for permit? Yes No #of Net New Units: <br /> xud'|eoVVs4.ssdnusmpuimdphurmnna|?YenNo Calculated School Impact Fee: <br /> ��� <br /> Amhibe�unm|Approved ByXDate: ���� ' School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: � ���� ��x~� �� ����° Comments: <br /> ���°^� ��_� � <br /> Intake OK by: Intake OK by: Ok to route Hold <br /> Make this a"W'Permit? Yes No <br /> •�.• <br /> ! � ./!x�` � <br /> ' ' ;/ <br /> .�'��/!`'�' FEE&�'��'.`' y'����� !'��'��'��� � ���������'����'.��!`|�'� |NTAKE/ Checked By: Date: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 Dov/Traffic Mit./RP8A-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: AS Date: 10' /n-17 <br /> Water Fee p� <br /> - 'PW Permit Approved-PW <br /> Sewer Fee D See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee <br /> School Mitigation Fee Update/New Sprinklers Yes NoExisting Bldg. <br /> __ <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 /> _ <br /> Approved by: Date: <br /> Comments: <br /> �� <br />