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FOR OFFICE USE ONLY PERMIT# 0 W t pO2-cobi <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 180 $F. klik 47c Zoning Classification `Rr ) <br /> Garage Size A)/4 Overlay/Agreement <br /> VALUATION igI '16'0 Nonresidential Use <br /> Number of Stories I Residential Use d, axed cf--. <br /> Occupancy Group P Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No_ Yes X0// Unfin Landscape or Planning Inspection <br /> Type of Construction `ZE needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: /Z.-0\ --Reason Approved by: Date: 2(2's <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: ,J A-- Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No X <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No_ #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: OW-- 3// //a School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: ZJ/6— /Ac....„ (Adv-6c,_ Comments: <br /> Intake OK by: Intake OK by: )L 14 Ok to route _ Hold x <br /> Make this a"W"Permit? es Jo <br /> P BLI WORKS. <br /> FEES INTAKE: Checked By: Date: �Z� 7,D1�� <br /> Plan Check Fee Comments.3Q f' (, / 4 t�'f�J <br /> Building Permit f �/,(/��' vnj4 '1. 61C�LL <br /> Surcharge High Hazard Sites(Dental/Medical,Animals, Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 18CRoute for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate gr e folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer;, Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee N See PW Review Worksheet <br /> Systems Dev. Fee 2 PW Permit Not Required CUJI$OZ-ooz( keys/ tibliza <br /> Traffic Mitigation Fee <br /> Public Works Fee s 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: 0 <br />