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FOR OFFICE USE ONLY PERMIT#L"� 7.-oo <br /> BUILDING � � PLANNING. <br /> Bldg/T1/6.1SPRem Size -3s G� S, Zoning Classification - " <br /> Garage Size Overlay/Agreement <br /> VALUATION 3& Cj'74 Nonresidential Use <br /> Number of Stories 1 Residential Use <br /> Occupancy Group f 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 Vt) needed before final? Yes_ No 1( <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by: Date: -2/ /2-C1\�'' <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: Al/t\ Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes No X <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: School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owe . <br /> Comments: ,O f /2C (A)S-76C.„ Comments: <br /> Intake OK by: di- Intake OK by:C01 Ok to route K Hold <br /> Make this a"W"Permit? Yes_ No pc <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: 334.3.1." <br /> 3�sf ad <br /> Building Permit r J JIrrTZ ` r, 4'7tsv <br /> ' <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 IC Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurren Review(separate gr n fol er) <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 C.ISO2— i ', / <br /> Systems Dev. Fee gPW Permit Not Required (v )j OtttJP, '' P O1.2sr <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 /> CZ-7;2) <br />