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FOR OFFICE USE ONLY PERMIT#m[SOS - 02.2._. <br /> BUILDING PLANNING <br /> -ZGarBldg/Tl/Addn/Rem Size Zoning Classification M-2,- <br /> Garage <br /> age Size Overlay/Agreement IM(.sL GVL— <br /> VALUATION *.`0._ e Vc -f g Nonresidential Use 1nA aAt —iLC ,I,v,,4c/ <br /> Number of Stories Residential Use Y <br /> ----^ <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 <br /> Existing Sprinkler System? Yes No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason Approved b,. Date: 1/ 7-- 7 I <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]RCW 64.55 docs required prior to final?Yes_ No Calculated School Impact Fee: <br /> Architectural Approved By/Date: !///�, 9, 71 � School Impact Fee Credit: <br /> Structural Approved By/Date: 4 Total School Impact Fee Owed: <br /> Comments: Comments: l(c),,\& \ \j QST\kJ <br /> Intake OK by: , . _ 01/ 2 6/x,1 43Intake OK by:�� Ok to route Hold _ <br /> Make this a"W" ermit? Yes No <br /> PUBLIC WORKS <br /> -- <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit1* I(,'l <br /> Surcharge High Hazard Sites(Dental/ al,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 />