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FOR OFFICE USE ONLY PERMIT# —o2-00 0 (0 <br /> BUILDING` PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification (IN--2- <br /> Garage <br /> -2Garage Size 7 Z C) Si Overlay/Agreement <br /> VALUATION 3z 'je2 Nonresidential Use <br /> Number of Stories / Residential Use �j 001- <br /> � <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No VYes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction "l needed before final? Yes_ No /'• <br /> Existing Sprinkler System? Yes No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by: V-) • Y Date: Z-'T-'u l <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 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: Date? School Impact Fee Credit: <br /> Structural Approved: Date: Total School Impact Fee Owed: <br /> Comments: zo/s fe. Comments: \ $ l•--)- 003 <br /> Intake OK by: M1. <br /> Intake OK by: Date:2 Ai, <br /> / PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: KtAaTrcdf�p,,,�/�/"Q��( 3 �Sy?' qJ <br /> Building Permit f"-P1 P1/241r <br /> �(/ ��,,�'''�/ al.11IzrhifriP <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 NrRoute 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: 1-1141i491/' <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee See PW Review Worksheet* <br /> Systems Dev. Fee PW Permit Not Required A{--(iA , fli (�A -wzfliti <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 />