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FOR OFFICE USE ONLY PERMIT# 17 4/ til <br /> BUILDING PLANNING <br /> 2 <br /> Bldg/Tl/Add em ize �Xisi i /Z/6 S¢- Zoning Classification S< JL__ <br /> Garage Size (/_57'<a Overlay/Agreement <br /> — <br /> VALUATION 50 000 Nonresidential Use <br /> Number of Stories Z.- Residential Use .Ftc( <br /> Occupancy Group KV&f Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: ©A-Q <br /> Basement No Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No1 <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: / i <br /> Reason Approved by: � Date: 4 l`Z ii-, G\ - <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 Soho. :'s <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 F e: <br /> Architectural Approved By/Date: cif/ .SIJ S//7 School Impact Fee C -:it: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> A <br /> Comments: Comments: <br /> \N-e_ - ).1 \Aki_ N\t-R1 6,04/kn3L. {,Qvs\r <br /> Intake OK by: i • Intake OK by:C-1SC Ok to route >d Hold _ <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <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 0 PW Permit Approved-PW <br /> Sewer Fee CI.See PW Review Worksheet - <br /> Systems Dev. Fee 0 W Permit Not Required _').II S <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 />