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FOR OFFICE USE ONL " PERMIT# e7t'I f a'o l'f'� <br /> BUILDING PLANNING <br /> Bldg I/Addn/Rem Size 37/ 402d Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION V40/ doe Nonresidential Use <br /> Number of Stories Residential Use <br /> i+ <br /> Occupancy Group F I i 13 5`-.L Proposed No.of Dwelling Units: <br /> Occupant Load j4 J Total No.of Dwelling Units: <br /> Basement No't Yes_ Fin ! Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes— No✓ <br /> Existing Sprinkler System? Yes No—Unk— Planning Inspector: <br /> Fire Sprinkler Required Yes le No Phone#: <br /> Reason Approve Date: I /II 1(R1 <br /> Existing Fire Alarm Yes-IS` 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 le #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: Gds /p$ if/7 School Impact Fee Credit: <br /> Structural Approved By/Date: '41tt/A0 Il Total School Impact Fee Owed: <br /> Comments: / ( Comments: <br /> Intake OK by: Intake OK by: 11/0 Ok to route )4 Hold _ <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEES • INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <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 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) <br /> ! Date: i/I' Al 5 <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: '‘74 <br /> Water Fee ErPPW Permit Approved-PW 121-033 <br /> Sewer Fee L'1 See PW Review Worksheet b(ey FOtaev <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. 7 <br /> Update/New Fir Se 'ce Yes— No /Existing Bldg. / <br /> Approved by: , 1 Date: i-Z,3-1 e, <br /> Comments: <br />