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FOR OFFICE USE ONLY PERMIT# ,1 s –041 <br /> BUILDING._. PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification — t <br /> Garage Size S20 Overlay/Agreement <br /> VALUATION t 4a 7 ZJ Nonresidential Use ._.-- <br /> Number of Stories ) Residential Use SFC\ <br /> Occupancy Group tA, Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <SIM_ <br /> Basement No Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction t3 needed before final? Yes_ No x <br /> Existing Sprinkler System? Yes_ No—Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approved by:C Date: et/L7 j Zoe ' <br /> Existing Fire Alarm Yes_ No—Unk_ Historic Approved by: ,J(P 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 to final?Yes_ No_ Calculated School Impact Fee: _....------ <br /> Architectural <br /> —Architectural Approved By/Date: i"' 7/3/1/S. School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee O <br /> Comments: Comments: <br /> Intake OK by: Intake OK by: Ok to route Hold _ <br /> Make this a"W" Permit? Yes No <br /> P BCGWORKS <br /> INTAKE: Checked By: Date: 4 aR 817..m � <br /> Plan Check Fee Comments: Sh&1, / t &Ilea* alnat( <br /> Building Permit No NJ S,`„f <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Re iew for RPBA) <br /> Additional Plan Check KPublic 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 fo er) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer e g- Date: <br /> Water Fee 0 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 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: fe--. <br /> Comments: <br />