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FOR OFFICE USE ONLY- PE IIT# ,\'-OO — o22._. <br /> BUI :DINS <br /> Bldg/TI/Addn/Rem Size Zoning Classification I -J <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use CSV C0 j..k, <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: r <br /> Occupant Load Total No. of Dwelling Units: „------ <br /> . Basement <br /> ._--- <br /> Basement No_ Yes_ Fin / Unfin Landscape or Planning Inspection _ <br /> Type of Construction - needed before final? Yes_ No b/^--. <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: .----- <br /> Reason Approve.p �'r►t►'.`i Date: / / 2_/r-i <br /> Existing Fire Alarm Yes_ No .Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No <br /> Reason Everett School Dist Mukilteo -.. 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 Sch.• pact Fee: <br /> Architectural Approved By/Date: 1-- School • .act Fee Credit: <br /> Structural Approved By/Date: t4 To School Impact Fee Owed: <br /> Comments: `M (0(f( 1 Comments SW 1 1 v /Ut <br /> A c.ot,tkft IA/1 spokr(mtax&3vzi,., <br /> Intake OK by: Intake OK by . to route _ Hold _ <br /> Make this a"W"Permit? Yes No <br /> FEES: . :. :..::f INTAKE. Checked By ) Date: <br /> VIfORKS G] <br /> :. ,...... Dae t <br /> Plan Check Fee Comments: ut it() S <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 Review(separate gre n fol er) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: V* Date: 2-- <br /> Water <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee xf PW 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 /> Z <br /> _ 11/ r <br />