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FOR OFFICE USE ONLY PERMIT# ‘C(1)04 D 6 D <br /> BUILDING <br /> ;. PLANNING. <br /> Bldg/TI/Addnigp.ize 137 E Zoning Classification <br /> Garage Size s?G S 2> Overlay/Agreement <br /> VALUATION 5000 Nonresidential Use <br /> Number of Stories 1Residential Use <br /> Occupancy Group TZ./c4 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 TEI? needed before final? Yes_ No V <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: ------- <br /> - <br /> (y <br /> Reason Approved V Date: 4//Y)3 /d <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 tofins?Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: c7 l,1 /al <br /> "2, School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: ----- <br /> Intake OK by: Intake OK by: 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: � ,O n��n�� t� <br /> Building Permit f tU Ni <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit.I 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 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee <br /> 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 u Existing Bldg._ <br /> Update/New Fire Service Yes_ No_ Existing Bldg. <br /> Approved by: Date: <br /> Comments: 'nom <br /> 1 W <br />