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FOR OFFICE USE ONLY PERMIT# g(gDc r02-(g) <br /> BUILDING PLANNI,NG. <br /> Bldg/TI/Addn/Rem Size /Oa° Zoning Classification '- <br /> Garage Size Overlay/Agreement <br /> VALUATION 3'3OX Nonresidential Use <br /> Number of Stories / Residential Use --�� <br /> Occupancy Group B Proposed No.of Dwelling Units: <br /> Occupant Load / O Total No. of Dwelling Units: <br /> Basement - No Yes Fin / Unfin Landscape or Planning Inspection j <br /> Type of Construction 17-13 needed before final? Yes_ No V. <br /> Existing Sprinkler System? Yes No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes" No Phone#: <br /> Reason Approved by: —x Date: 3((5-/t0a" <br /> Existing Fire Alarm Yes No_Unk_ Historic Approved by: j I A Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes_ No '(, <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes No 'Y' #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No Zf Calculated School Impact Fee: <br /> Architectural Approved By/Date:/ ' 4(p4e I School Impact Fee Credit: <br /> Structural Approved By/Date: — Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: 3(t�/ I g Intake OK by: Ok to route Hold <br /> Make this a"W" rmit? Yes No <br /> PUBLIC WORKS <br /> FEES .:' d By1 ' �iy� <br /> INTAKE: ChDDe��ff Date: � <br /> Plan Check Fee Comment : d7` e/ sk i06 ESEn. ,t <br /> j+g t/,S.?- ,� 97(2'14" �?�✓ <br /> Building Permit SYSelW do r (k0Vk,noa fi 83' ?fil ) <br /> Surcharge ig Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check UPublic Works/Sys Dev Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent view(separate gre n !der) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: �C Date: 41/45- gei <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee EI See PW Review Worksheet f1'IJ'J r{S I�; t Oso <br /> Systems Dev. Fee Ig PW Permit Not Required /0019P-it (6p9Fi12..si hifi ettflk/ 1 o <br /> *-) <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 /> n.., <br /> Comments: NO- M <br />