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FOR OFFICE USE ONLY PERMIT# Dg---°2C3 <br /> BUILDING PLANNING <br /> Bld6Addn/Rem Size er-,deC) Zoning Classification <br /> Garage Size — Overlay/Agreement <br /> VALUATION 4. 10 0 mda Nonresidential Use 441. <br /> Number of Stories ti-- Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No k Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V needed before final? Yes_ No_ <br /> Existing Sprinkler System? Yes X No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes k No Phone#: <br /> Reason k� �' Approved I Date: q/(c,fir <br /> Existing Fire Alarm Yes X No_Unk Historic Approved by: Date: ----- <br /> Fire Alarm Required Yes x No_ School Mitigation Reqd? Yes_ No_ <br /> Reason ext 4itko& Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No 14 #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes No k Calculated School Impact Fee: <br /> Architectural Approved By/Date: 7 /l�f i School Impact Fee Credit: <br /> Structural Approved By/Date: ( 1 Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: '� � I(PI jv Intake OK by: Ok to route _ Hold _ <br /> Make this a"W" 't rmit? 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 ❑ 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 R view(separate gree Ider) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: /-6 <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPAyTMENT <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: „,v,, Date: Co <br /> Comments: <br /> C <br /> � <br />