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FOR OFFICE USE ONLY PERMIT# x\ 9.r-co(0 <br /> BUILDING .,'; PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: --- <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No_ Yes_ Fin / Unfin, Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved 6F Date: I D/Q/i -'-- <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No_ <br /> Reason Everett School Dist Mukilteo Sc. list <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_ No Calculated Soho. pact Fee: <br /> Architectural Approved By/Date: I_1 --- Id 1,7/17 School I...act Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: ,, /� <br /> Comments: e9/L- jO % cj/� CommentsL JAItte"t�t't4't-- (✓(/ 1��/YC14it.0 <br /> Intake OK by: /stall Intake K by: Ok to route Hold _ <br /> Make this a"W" ermit? Yes No <br /> P BLIC WORKS . <br /> FEES INTAKE: Checked By: .141.2A Date: • Z_' Ze( <br /> Plan Check Fee Comments: ' ` A I:, & e_ S <br /> I , <br /> Building Permit ctp# ; %' t <br /> Surcharge Hig Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurren Review(separate gree fold r) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee ❑ See 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 /> (1/2<-1- <br />