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FOR OFFICE USE ONLY PERMIT# B 1g6 I'd n <br /> - `BUILDING. PLANNING`,., <br /> 6Tl/Addn/Rem Size f" � Q g K i (dra) Zoning Classification "t=�' "' — <br /> Garage Size Overlay/Agreement <br /> VALUATION $ f61 COO Nonresidential Use (-\CQ <br /> Number of Stories , / Residential Use <br /> Occupancy Group {5 Proposed No. of Dwelling Units: <br /> Occupant Load 4t4-jd Total No.of Dwelling Units: <br /> Basement No ICYes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction U � needed before final? Yes_ No X <br /> Existing Sprinkler System? Yes 0 No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes D No_ Phone#: <br /> Reason Approved by(' ---} Date: '' t Z 2-01. <br /> Existing Fire Alarm Yee-73 No_Unk_ Historic Approved by: A ( A- Date: <br /> Fire Alarm Required Ye No_ School Mitigation Reqd? Yes_ No 7. <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ NO.),_ <br /> #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: GAtft-ss- / --1..r—a- School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee O d: <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 /> 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(se arate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: �70 Date: // <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee ee PW Review Worksheet <br /> Systems Dev. Fee PW Permit Not Required <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 /> �/�,,,� <br />