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FOR OFFICE USE ONLY PERMIT# CIO 11I e"003 <br /> BUILDING. PLANNING <br /> Bldg/TI/Add i���+""+ize ea Z8 S f= Zoning Classification 2.-"2- <br /> Garage Size WA Overlay/Agreement <br /> VALUATION t 4-00 Nonresidential Use <br /> Number of Stories I Residential Use cL Q)4 <br /> Occupancy Group Q Proposed No.of Dwelling Units: r <br /> Occupant Load Total No.of Dwelling Units: 1 <br /> Basement No_ YesX.4' Unfin Landscape or Planning Inspection <br /> Type of Construction ,17..--E needed before final? Yes_ No L <br /> Existing Sprinkler System? Yes No_Link_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by: t_s+ "Y) Date: a-,Vc--v ii <br /> Existing Fire Alarm Yes— No_Unk_ Historic Approved by: U 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: cit. /2.74*/ - School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Z co icy /&.. 0 W5 C. Comments: <br /> Intake OK by: Intake OK by: k-I4' 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 R view(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee 0 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 FIRE-DEPARTMEN/T. <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 Srv1icce es_ No /Existing Bldg._ <br /> Approved by: `��N"" Date: TWV‘ <br /> Comments: / <br /> Z/�J <br />