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FOR OFFICE USE ONLY PERMIT# I/VI I U g--6 3 'P <br /> BUILDING PLANNING <br /> Bldg/Tl/Addn/Rem Size Zoning Classification f-- Z <br /> Garage Size Overlay/Agreement -1- <br /> VALUATION Nonresidential Use CD(, <br /> Number of Stories Residential Use <br /> Occupancy Group 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 needed before final? Yes_ No Y' <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: IL.). Date: c— ice.i <br /> Existing Fire Alarm Yes_ No—Unk_ Historic Approved by: 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 /> Addi RCW 64.55 docs required prior to final?Yes No Calculated School Impact Fee: <br /> t i <br /> Architectural Approved By/Date: \ r', School Impact Fee Credit: <br /> Structural Approved By/Date: it ta'e Total School Impact Fee Owed: <br /> Comments: Comments: txkitc_ L) 19 <br /> C:31(41 ‘0,y-yikce,e1A) <br /> Intake OK by: ., , WI ,,/I a Intake OK y: Ok to route Hold <br /> Make this a"W'6-rmit? Yes_ No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit 1/16 - N- ' <br /> Surcharge High Hazard Sites(Dental/Me(cal,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 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 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 /> 1(YitYr il C( <br /> x-12 <br />