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FOR OFFICE USE ONLY PERMIT# 1161 O2J <br /> BUILDING <br /> PLANhlIN6 <br /> Bldg/TI/Addn/Rem Size Zoning Classification 2j <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential UseK ` ji(C�C�t_ 71(�l�gT E- <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_ 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 by: Date: rhil (z <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: �f g J la/« School Impact Fee Credit: <br /> Structural Approved By/Date: /) Total School Impact Fee Owed: <br /> Comments: Comments:Vt\I-tc lf .— 0 1 <br /> Intake OK by: g fi I tF Intake OK by:'t6�X Ok to route �� Hold _ <br /> Make this a"W"'-rmit? Ye No <br /> PUBLIC WORKS, <br /> F ES INTAKE: Checked By: /-c'B Date: 7 -I/ -1 7 <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge HighH^ Hazard Sites(Dental/Medical,Animals, Mortuary,etc -view for RPBA) <br /> Additional Plan Check ,IVPublic 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: Date: <br /> Water Fee 0 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: <br />