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R1 01- 0oI <br /> FOR OFFICE USE ONLY PERMIT—it -z <br /> BUILDING PLANNING. <br /> BldgiTI/AddrtlfeDn Size Zoning Classification " <br /> Garage Size Overlay/Agreement <br /> VALUATION *74, to Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group C-1 Proposed No.of Dwelling Units: 4e)( <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No 3/Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction •4r_g needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: J <br /> Reason Approved by: �sz Date: c (c y_ _/ <br /> Existing Fire Alarm Yes_ No_Unk Historic Approved by: r— 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_ No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: ///i3//5 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 2_49/6-- /, L Comments` <br /> Intake OK by: (4 117 Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes X No <br /> • PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: A 1� <br /> Building Permit n()1 NAV�C_vl) <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 ❑ PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee ❑ PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRES 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 />