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FOR OFFICE USE ONLY PERMIT# Q I v° 1A--u L\I <br /> BUILDING PLANNING <br /> Bldg ffAddn/Rem Size Zoning Classification , kik'-2— <br /> MA Garage Size — Overlay/Agreement Y` A G- (�_L 1 (('— <br /> VALUATION 1,3I 02'o Nonresidential Use binG+hlk- S- VA.V <br /> Number of Stories '1- Residential Use Iso tJ E <br /> Occupancy Group `17-7 , �" - 3- Proposed No. of Dwelling Units: <br /> Occupant Load .lQ Total No. of Dwelling Units: <br /> Basement No-k Yes Fin / Unfin Landscape or Planning Inspection / <br /> Type of Construction 11 - j needed before final? Yes— No V <br /> Existing Sprinkler System? Yes >. No—Unk Planning Inspector:— <br /> Fire Sprinkler Required Yes k No Phone#: <br /> --� <br /> Reason k t'Ain,.1 Approved Date: �/ 3 I I <br /> Existing Fire Alarm Yes k No—•�JUnk— Historic Approved by: Date: <br /> Fire Alarm Required Yes k No_ School Mitigation Reqd? Yes— No f <br /> Reason S N i‘Alluc 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 X Calculated School Impact Fee: <br /> Architectural Approved By/Date: Fj/ )/1g. School Impact Fee Credit: <br /> Structural Approved By/Date: / Total School Impact Fee Owed: <br /> Comments: Comments: --- <br /> Intake OK by: Intake OK iy ''�' ' Ok to route Sf Hold _ <br /> Make this a"W"Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: C�Oj'!S/ <br /> Building Permit ` <br /> o , �vnr ger only— ,.j " <br /> Surcharge High Hazard Sites ental/ ,- ical,Animals,Mdrtuary,etc-Review for 7' P <br /> Additional Plan Check ❑ 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 eview 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 SEe"AWES AfDE.t' 74 <br /> Systems Dev. Fee , PW Permit Not Required DesejelJ°jll ki 177axyAIO r <br /> Traffic Mitigation Fee phvit Cmv> /i /AfrIAJ - <br /> Public Works Fee FIRE DEPAR MENT <br /> School Mitigation Fee Update/New Sprinklers Yes o_ 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. 7- <br /> Approved <br /> Approved by: (1---- _) Date: (---`f-\ t <br /> Comments: <br /> Zl � <br /> 2 <br />