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FOR OFFICE USE ONLY PERMIT# W <br /> BUILDING.. _ . <br /> PLA <br /> Bldg/TVA '/Rem Size 735- Zoning Classification <br /> Garage Size ,(//A Overlay/Agreement <br /> VALUATION ,j 50' Nonresidential Use '^ <br /> Number of Steiries — Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: ©Y1 e_ <br /> Basement No Yes nfin Landscape or Planning Inspection <br /> Type of Construction \j. 3 needed before final? Yes_ No 4 <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by: < Date: 'I''` .1-0 <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 School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No_ #of Net New Units: <br /> Add!RCW 64.55 docs required prior to final?Yes No Calculated School Impact Fee: <br /> Architectural Approved By/Date: .ziii/&/z/r School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Ow d: <br /> Comments: 2_,9 /,4.216C.. Comments: <br /> Intake OK by: ji-/-' Intake OK by: SZ Ok to route X Hold <br /> Make this a"W"Permit? Yes,C No_ <br /> PUBLIC WORKS <br /> _47 <br /> FEES INTAKE: Checked B Date: <br /> By: o� <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 0 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 green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee Fgl..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 />