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FOR OFFICE USE ON_ PERMIT# V) (..q-C(*-4--—C2-5 <br /> BUILDING. ; ` . . ...` PLANNING <br /> Bldg/TI/Addn/Rem Size ,iQ 0 42 Zoning Classification fv1--1 <br /> Garage Size Overlay/Agreement <br /> VALUATION It1 OCO Nonresidential Use W iet -E v5i <br /> Number of Stories 1 Residential Use <br /> Occupancy Group D Proposed No. of Dwelling Units: -'---- <br /> Occupant Load PI /4 Total No. of Dwelling Units: ""----- <br /> Basement NotYes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V -,3 needed before final? Yes_ No 1------ <br /> Existing <br /> Existing Sprinkler System? Yes n No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: ----.. <br /> Reason Approved .4141/ Date: ---1 l(2./ t' 1 <br /> Existing Fire Alarm Yes ZSNo_Unk_ Historic Approve. by: Date: <br /> Fire Alarm Required Yes-25 No_ School Mitigation Reqd? Yes_ No <br /> Reason Everett School Dist Mukilteo Sch•• S. <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 Scho• pact Fee: <br /> 7-7 <br /> ...LAW Approved By/Date: 1 7 A4 y School • 'act Fee Credit: <br /> Structural Approved By/Date: 1161 'P-V- `c' 2 (I- Total School Impact Fee Owed: <br /> Comments: Comments:? _(3O \ s _W, <br /> Intake OK by: r (2I Ife Intake OK by: Ok to route _ Hold <br /> Make this a"W'!'ermit? Yes No <br /> PUBLIC WORKS.., . <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Anim- =, ortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/ - is Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public • s Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works r-emit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIE " PW Reviewer: Date: <br /> Water Fee 0 P -ermit Approved-PW <br /> Sewer Fee ■ .ee PW Review Worksheet <br /> Systems Dev. Fee 11 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 /> CN'\'' <br />