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FOR OFFICE USE ONLY PERMIT 4 .B(70 ' O I <br /> BUILDING ` ?i PI ANNIN0 - . <br /> Bldgftl/Addn/itemSi e , -°k R a"-- Sf- Zoning Classification F-- 4. <br /> Garage Size Overlay/Agreement ,-- <br /> VALUATION $ f1 /'LQO Nonresidential Use '- <br /> Number of Stories a- Residential Use M LJ <br /> P---D- <br /> L <br /> Occupancy Group t`--a"' Proposed No. of Dwelling Units: ---> <br /> Occupant Load 1 5 Total No. of Dwelling Units: -- <br /> Basement No)d Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction- uQ needed before final? Yes_ No �� <br /> Existing Sprinkler System? Yes_ No ' Unk Planning InSspector: <br /> Fire Sprinkler Required Yes No Yi Phone#: - <br /> �' <br /> Reason LX15T1� r 1� Approved by: � Date: S ((Ql <br /> Existing Fire Alarm Yes_ No )4 Unk_ Historic Approved by: Date: _ <br /> Fire Alarm Required Yes No 4 School Mitigation Reqd? Yes_ No <br /> s� �- <br /> Reason ((S7(Nt.- Everett School Dist Mukilteg.Sctiool 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 tool Impact Fee: <br /> Architectural Approved By/Date: (Y\l, \- l,lc� 51/ fyi 7 ool Impact Fee Credit: <br /> Structural Approved By/Date: 01:::11.11- Total School Impact Fee Owed: <br /> Comments: S eS () (-�-,61r� N (tit/ Comments: <br /> Intake OK by: Intake OK by: Ok to route 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 AV 4.4 'toY <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 /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: k8 Dater/8'/ 7 <br /> Water Fee W Permit Approved-PW ('7()Co-0 li-if <br /> Sewer Fee See PW Review Worksheet <br /> Systems Dev. Fee L PW Permit Not Required <br /> Traffic Mitigation Fee r; <br /> Public Works Fee <br /> ;, FIRE'.DEPpRTMI=NT . <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 />