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FOR OFFICE USE ONLY PERMIT# -(..J 12Ca-CO <br /> BUILDING <br /> ;PLAh1NINCx. <br /> Bldg/TI/Addn/Rem Size Zoning Classification -� <br /> Garage Size Overlay/Agreement Cia 4- <br /> VALUATION 100 Nonresidential Use <br /> Number of Stories Residential Use C-- F11-- <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: I <br /> Basement No_ Yes_ Fin / Unfin Landscape or Planning Inspection <br /> _ <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 Approve. .y: Date: 3/7"-// <br /> Existing Fire Alarm Yes_ No—Unk_ // <br /> Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No t <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: Z/ /gig School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 00/‘` //LC Comments:----- <br /> Intake OK by: U " Intake OK by: Ok to route _ Hold <br /> -Alt_ <br /> Make this a"W"Permit? s <br /> ,9No <br /> P BLIC.WORKS. <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: 112 <br /> Building Permit �`I it _ 71 <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check laPublic 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 leyiew(separate gr-,-n f• der) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer Date: Ail i <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. FeePW 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 />