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FOR OFFICE USE OIC PERMIT# Cr/62°6? — <br /> BUILDING • <br /> `PLANNING <br /> Bldg/TI/Addn/Rem Size iq! q &C7 S Zoning Classification <br /> Garage Size •-c/ SO: Overlay/Agreement <br /> VALUATION 2 474 3- (/ ?-0 Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group /Q,/u Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No 1k Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction 413 needed before final? Yes_ No_ <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason Approved by Date: e("7--e/f7 <br /> Existing Fire Alarm Yes— No—Unk_ Historic Approv 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'l RCW 64.55 docs required prior to final?Yes_ No Calculated School Impact Fee: <br /> Architectural Approved By/Date: /2q//-7-. School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 2_0 j /eC 0 !/✓SSG Comments: <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: A� Date: /2-/E7'7/7 <br /> Water Fee ff 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 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: 7' <br /> i I <br />