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FOR OFFICE USE ONLY PERMIT# ,'/ (gt) 7 -Di � <br /> BUILDING PLANNING <br /> Bldg/TI/AddnSize ^2..S Z r Zoning Classification VI <br /> Garage Size Overlay/Agreement <br /> VALUATION /7 v9Z Nonresidential Use <br /> Number of Stories ( Residential Use S'FP-- <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 —IL/7 needed before final? Yes No V <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: j <br /> Reason Approve-tfy --� Date: 9/12C(?/l 8 <br /> Existing Fire Alarm Yes No_Unk_ Historic Approved by: 10144 Date:-- <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes No k// <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: dt4 '7// 3/0), School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 0_045—/2 C le, tifS.0 Comments: —, N( 3J G' -0O1J <br /> Intake OK by: _ Intake OKi f} Ok to route Hold <br /> -v.. <br /> Make this a"W" Permit? Yes Ni x <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> )/"..j <br /> Surcharge High Hazard Sites(Dental/Me Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA- NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ 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 /> niSji N ttlii Mil <br />