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FOR OFFICE USE ONLY PERMIT 4 b-709"00 <br /> BUILDING <br /> - PLANNING <br /> lor, 4_ <br /> Bldg/TI/Add /Rem Size ` ---ka-S� Zoning Classification <br /> Garage Size `— Overlay/Agreement -----._, <br /> VALUATION 1 t g / '160 Nonresidential Use <br /> Number of Stories _ g— Residential Use M Lti <br /> Occupancy Group P-- -- Proposed No. of Dwelling Units: "'" '—� <br /> Occupant Load ` I S Total No. of Dwelling Units: _ <br /> Basement No)4 Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction- uQ needed before final? Yes_ No i—� <br /> ' Existing Sprinkler System? Yes No Unk_ Planning Irispector: , <br /> Fire Sprinkler Required Yes_ No gl Phone#: ----- <br /> Reason LX'STIAc.T ,Approved by: � ' Date: S/i <br /> ((�jl <br /> Existing Fire Alarm Yes <br /> — No )v Unk_ Historic Approved by: Date: 6 <br /> Fire Alarm Required Yes No)d School Mitigation Reqd? Yes No <br /> Reason 0(I S1(Ntr Everett School Dist Mukilteg,ScP ool Dist <br /> X <br /> " <br /> RCW 64.55 MF worksheet req'd for permit? Yes r No_ #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No x Calculated ool Impact Fee: <br /> Architectural Approved By/Date: l'(`tt. M LLAil 7117/17 ool Impact Fee Credit: <br /> Structural Approved By/Date: /;i opll0- Total School Impact Fee Owed: <br /> Comments: SSS, `lytv03�,1i to ‘ CoJ 4/1 Comments: <br /> Intake OK by: Intake OK by: Ok to route Hold _ <br /> Make this a"W" Permit? Yes No <br /> •:..:. PUBLICVIFORKS. <br /> ,FEES ,, INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit U1M. .J t0( <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: le Date: `I <br /> Water Fee 0 PW Permit Approved-PW W 110(0-0 " <br /> Sewer Fee ❑ See PW Review Worksheet <br /> � <br /> Systems Dev. Fee ' , DW 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 />