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FOR OFFICE USE ONLY PERMIT# <br /> BUILDING ;PLANNING <br /> Bldg/TI/Addn/Rem Size 5.5;625 A3 <i Zoning Classification {N-s <br /> Garage Size Yom- 264 $ Overlay/Agreement <br /> VALUATION 919s- Nonresidential Use <br /> Number of Stories ff Residential Use S'fi< <br /> Occupancy Group N Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: ©W. <br /> Basement No Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction .Z needed before final? Yes— No <br /> Existing Sprinkler System? Yes No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by: c� A Date: g tt2-(20\7 <br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved by: i l� 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'l RCW 64.55 docs required prior to final?Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: ca/# 7/3/Ag School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 2_01,s-- /(J Comments: <br /> Intake OK by: 4/11. Intake OK by:�-- V Ok to route 0( Hold _ <br /> Make this a"W"Permit? Yes No <br /> PUBLIC WORKS <br /> Z=EES 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 fo er) <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 4 W 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 />