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FOR OFFICE USE ONLY PERMIT# �J 4�Uu0-002-- <br /> BUILDINtG ".` PLANN#NC <br /> Bldg/TI/Addn/Rem Size . 6,ra SF Zoning Classification F- - 'l <br /> Garage Size ,y! Overlay/Agreement <br /> VALUATION '`rZZS ewa. 00 Nonresidential Use 'Ci. <br /> Number of Stories / Residential Use NU i\e- <br /> Occupancy Group 3 Proposed No.of Dwelling Units: <br /> Occupant Load 3 7 Total No. of Dwelling Units: <br /> Basement No X Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V13 needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No ) Unk_ Planning Inspector -- - <br /> Fire Sprinkler Required Yes_ No )C Phone#: <br /> Reason y""' Approved y: Date: Zi W l/ g <br /> Existing Fire Alarm Yes_ No X. 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 final?Yes_ No Calculated School Impact Fee: <br /> Architectural Approved By/Date. School Impact Fee Credit: <br /> Structural Approved By/Date: AL £ //S Total School Impact Fee Owed: <br /> Comments: Comments: NC U,ti OC+ C-w--h,' C UI g/to`t <br /> �� Ok to Hold <br /> Intake OK by: Intake OK by: — <br /> Make this a"W" Permit? Yes No <br /> P BUG WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Date: <br /> Plan Check Fee Comments: <br /> Building Permit NO <br /> Surcharge High Hazard Sites(Dental/Medical,Animalary,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 eview(separate gre n f der) <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 ECM/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 / xisting Bldg. <br /> Update/New Chemical Yes_ No isting Bldg. <br /> Update/New Fire Service Yes_ No Existing Bldg. S <br /> Approved by: ...)\./ Date: 1 17)1110a <br /> Comments: <br /> 1 .i-, ,..' <br />