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FOR OFFICE USE ONLY PERMIT# MO c o' <br /> BUILDING PLANNING. . .. . . <br /> Bldg/TI/Addn/Rem Size Zoning Classification --3 <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use l; t (f ^k <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 t_.------ <br /> Existing <br /> —Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: "-- <br /> Fire Sprinkler Required Yes_ No_ Phone#: 4.4 Co/4Q l V /�cF <br /> Reason Approvet-riiii, Date: a Li 1 - <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 Mukil chool 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 Sch•: mpact Fee: <br /> Architectural Approved By/Date: School •a -- re.it: <br /> Structural Approved By/Date: -‘ I toil 4 T: al - ool ImpactBFee Owed: keb-oi Comments: �vr- ,, ! Co ments: j \yv klQ <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes No <br /> PUBLIC 1NORK5 . ' . <br /> FEES. INTAKE: Checked By: Date: 5—3-2447 <br /> Plan Check Fee Comments:L� 1"� �ad e,�4/214 Ayr lou6/� <br /> Building Permit -7 r�.tl/c�, C(I'1 i1 Z10-f• <br /> Surcharge High Hazard Sites(Dental/Medical,Animals, Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ISrPublic 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:}e -a- Date: 5-3-201,- <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 1SPW 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: qz,i) <br />