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FOR OFFICE USE ONLY PERMIT# >7 (765'552 <br /> BUILDING PLANNING ; <br /> Bldg/TI/Addn/Rem Size 2ctC{ 2 S FZoning Classification g.- �'" <br /> Garage Size Overlay/Agreement <br /> VALUATION 7; 2- Nonresidential Use <br /> Number of Stories a- Residential Use M V11%. C <br /> Occupancy Group 1 'a" Proposed No. of Dwelling Units: <br /> Occupant Load 15 Total No.of Dwelling Units: <br /> Basement No)4 Yes_ Fin / Unfin _ Landscape or Planning Inspection <br /> Type of Construction- \JQ needed before final? Yes— No• <br /> Existing Sprinkler System? Yes— No ' Unk Planning hispector: <br /> Fire Sprinkler Required Yes— No XI Phone#: –t-- <br /> Reason X+ST(ti1 v Approved by; Date: g 10/1 :q--- <br /> Existing Fire Alarm Yes No )4 Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No)d School Mitigation Reqd? Yes— No_ a <br /> Reason $(5l(Ntr Everett School Dist Mukilteq Sctioo 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 ool Impact Fee: <br /> Architectural Approved By/Date: Ann., (IA L, 7/t (•[ ool Impact Fee Credit: <br /> Structural Approved By/Date: (o t Total School Impact Fee Owed: <br /> Comments: Sl,t,c3. Qf�off}(6 17I � r Ut kr Comments: <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes No <br /> PUBLIC WORK.. <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: • <br /> Building Permit ail AA**COY <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: ,4 9 Date: `' <br /> Water Fee �1 -W Permit Approved-PW '?Oto--o ' <br /> Q <br /> Sewer Fee • See PW Review Worksheet <br /> Systems Dev.Fee PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIREs.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 />