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FOR OFFICE USE ONLY PERMIT#T1175`1 <br /> BUILDING .., PLANNING . . <br /> Bldjddn/Rem Size /6 /7 Zoning Classification 0.2 1 <br /> Garage Size -"� Overlay/Agreement <br /> VALUATION l c C/` ©0 D <br /> Nonresidential Use - C,e'/a'en / <br /> Number of Stories 1 Residential Use `-" <br /> Occupancy Group („) Proposed No.of Dwelling Units: <br /> Occupant Load /CTotal No. of Dwelling Units: <br /> Basement No� Yes Fin / Unfin Landscape or Planning Inspection / <br /> Type of Construction Li '-"E needed before final? Yes_ No v <br /> Existing Sprinkler System? Yes_ No X Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No-S Phone#: ----- <br /> Reason <br /> Reason ApprovedDate: (p UJ / <br /> Existing Fire Alarm Yes - No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes6 No School Mitigation Reqd? Yes al No t•,-- <br /> Reason <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'I RCW 64.55 docs required prior to final?Yes_ No L Calculated School Impact Fee: <br /> Architectural Approved By/Date: e..--L2-s 3J 6,✓/,1 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: --- <br /> Intake OK by: Intake OK by: Ok to route _ Hold <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEES • INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> per Pta11r1O-032� i I <br /> �'� WorkWorkP P tSSUF <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 eviey green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: ' Date: 6-1-2412 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee IS See PW Review Worksheet'Sy DE4/Sp fret <br /> Systems Dev. Fee 0 PW Permit Not Required No O re& -.. <br /> Traffic Mitigation Fee <br /> Public Works Fee FRE DEPARTMEI$T <br /> School Mitigation Fee Update/New Sprinklers YeL No Existing Bldg. <br /> Update/New Detection Yes X No Existing Bldg. <br /> ` <br /> Update/New Chemical Yes_ No Existing Bldg. <br /> Update/New Fire Service Yes_ N ?? Existing Bldg._ <br /> Approved by: Dater` / 7/'Z' <br /> Comments: / <br />