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FOR OFFICE USE ONLY PERMIT#�✓ mq--01-4 t4 <br /> BUILDING ` PLANNING <br /> Bldg/TI/Addn/Rem Size Q, ,—L O Zoning Classification C,— I <br /> Garage Size ✓�► Overlay/Agreement <br /> VALUATION 4 P-411-1/6 Gv Nonresidential Use <br /> Number of Stories I` Residential Use <br /> Occupancy Group 13 Proposed No. of Dwelling Units: <br /> Occupant Load PC Total No. of Dwelling Units: <br /> Basement No - Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction {I-1 needed before final? Yes_ No <br /> Existing Sprinkler System? Yes 25. No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: (2:311' 7- <br /> Reason Approved by: In\ Date: CZ <br /> Existing Fire Alarm Yes No UnkHistoric Approved by: 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 #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ Nom Calculated School Impact Fee: <br /> Architectural Approved By/Date: L - /0,6/17 School Impact Fee Credit: <br /> Structural Approved By/Date: - Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: :l'f c, 2-gill- Intake OK by: Ok to route _ Hold _ <br /> Make this a"W1'ermit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: p�, //�� <br /> Building PermitT ""__��t ,""` <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 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> FIRE _. <br /> Public Works Fee ; �' 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 />