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FOR OFFICE USE ONLY PERMIT# At() (g0(0--00421 <br /> BUILDING =:+ PLANNING <br /> Bldg/TI/Addn/Rem Size Ex/$7 /c, Zoning Classification <br /> Garage Size Overlay/Agreement <br /> / <br /> VALUATION / Z-1 e9C Nonresidential Use Q <br /> Number of Stories I Residential Use (& <br /> 1E <br /> Occupancy Group / Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: ©`n� <br /> Basement No A<Yes_ Fin / Unfin Landscape or Planning Inspection \/ <br /> Type of Construction needed before final? Yes_ No X <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approved by: Date: I p�120�� <br /> Existing Fire Alarm Yes_ No_Unk Historic Approved by: r4 t Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes No X <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: vg-iit 7k57/8 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: p fS `,@G 0/5744 Comments: k)ç \SC—Mt_ <br /> Intake OK by: Intake OK by:d I Ii j Ok to route Oc Hold _ <br /> Make this a"W"Permit? '(es 1C; ) No_ <br /> PUBLIC WORKS <br /> FEES • INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: /�� ,(�p � <br /> i& <br /> Building Permit ` ' - No 0 �-`- �"- " - <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: Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee r.,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 /> AO- h2A (M"-ee(-) &;) <br />