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FOR OFFICE USE ONLY PERMIT# 6-3 \60 !O Z <br /> BUILDING PLANNING .'. <br /> Bldg/TI/Addn/Rem Size Zoning Classification -t <br /> Garage Size 7t6 Overlay/Agreement <br /> VALUATION 0090 Nonresidential Use <br /> Number of Stories Residential Use f�\ <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No X Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction 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:cI- Date: gI2Z I2(J\.r <br /> Existing Fire Alarm Yes No Unk_ Historic Approved by: J t Jc 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''RCW 64.55 docs required prior to final?Yes- No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: '71(0/13 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 7,5 //LC Ldf vG Comments: <br /> Intake OK by: Alf' Intake OK by:__ Ok to route Hold _ <br /> Make this a"W"Permit? YesJ) 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(separate green Ider) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee yDPW 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 7. Existing Bldg. <br /> Update/New Chemical Yes_ No /"Existing Bldg._ <br /> Update/New Fire ervice Yes_ No / Existing Bldg._ <br /> Approved by: Date: 1—I e-( <br /> Comments: rr� <br />