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• <br /> FOR OFFICE USE •NLY PE-MIT# ZOJ - <br /> .UILD NO <br /> :.:0:4ANOW <br /> Bldg/TI/Addn/Rem Size 317 ar Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use 3CkOd <br /> Number of Stories / Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load 41J Total No.of Dwelling Units: <br /> Basement No Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction x/'-11 needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No S Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No. Phone#: <br /> Reason 2GG/ Approved by: Date: f (o <br /> Existing Fire Alarm Yes No ar .Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes No No_ School Mitigation Reqd? Yes No <br /> Reason 5`(t)V51 t$ 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 ti' Calculated School Impact Fee: <br /> Architectural Approved By/Date: f i?-4P'Z.a School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: <br /> CL 0177 �--c l ' <br /> Intake OK by: Intake OK by: Ok to route _ Hold <br /> Make this a"W"Permit? Yes No <br /> 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-Concurre t Rev ew(separate gr en f 'der) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer 3- Date: 'i� _� <br /> Water Fee &PW Permit Approved-PW IS01/-035 <br /> Sewer Fee laSee PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee :. FIRE'D PARTM NT <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: a. Date: '4-'J6 -1 e <br /> Comments: s j av a esobw.�•i .1 ra <br />