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FOR OFFICE USE ONLY PERMIT# j )5QLo-0 <br /> INQ PLANNING <br /> Bldg/TI/Ad n/Rem Size / ,33Zoning Classification ik <br /> Garage Size -^..-T Overlay/Agreement <br /> VALUATION �S ?Q. Oar Nonresidential Use C\lui-C\\ 4( SCV00' <br /> Number of Stories / Residential Use <br /> Occupancy Group Z.... No. of Dwelling Units: <br /> Occupant Load /4/A Total No.of Dwelling Units: <br /> Basement No' Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction "A needed before final? -Yes_ No i <br /> Existing Sprinkler System? Yes No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_> No_ Phone#: <br /> Reason Approved by:��` Date: (1,I1 <br /> ( 20\57- <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: !J1, Ps- Date: _— <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes_ No X, <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No 1 #of Net New Units: <br /> Add!RCW 64.55 docs required prior to final?Yes Nom ,/� Calculated School Impact Fee: <br /> Architectural Approved By/Date: s rt�-�d School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: <br /> J\. 4eriot vttik, At <br /> 1U�S� U <br /> Intake OK by>',4. ©€/29 lZr Intake OK by:�YiaAS � Ok to route _ Hold <br /> Make this a"W" Permit? Yes No <br /> P BLIC WORKS <br /> FEES INTAKE: Checked By: ' Date: K/ /Z45 <br /> Plan Check Fee Comments: Q <br /> Building Permit too v im" <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ifPublic 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 Revi w(separate gre fold r) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer F Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee firPW 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.L <br /> Update/New Chemical Yes_ No/ Existing Bldg.. <br /> Update/New Fire ervice "Yes No /+ Existing Bldg. <br /> Approved by: ,i "[J1- ' -Date: '7-" "1 <br /> Comments: <br /> Z <br />