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FOR OFFICE USE ONLY PERMIT# UJ( k... 01(i "....02--- , <br /> BUILDING PLANNING .. ,. <br /> Bldg TOddn/Rem Size cpze btower; aloe Zoning Classification 2_-A <br /> Garage Size ��--yy�.�� ��,1 Overlay/Agreement <br /> VALUATION i'C Nonresidential Use <br /> Number of Stories !!! a Residential Use RULT-.., <br /> Occupancy Group .' Proposed No.of Dwelling Units: <br /> Occupant Load /4/PI Total No. of Dwelling Units: -------- <br /> Basement <br /> Basement No 6Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction U N needed before final? Yes_ No_A.....---- <br /> Existing <br /> Existing Sprinkler System? Yes_ No Unk_ Planning Inspectors <br /> Fire Sprinkler Required Yes_ No Phone#: ...------- <br /> Reason Approved Date: 01,(Cit CI- <br /> Existing Fire Alarm Yes - No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes _ <br /> Reason Mid/VA L__ Everett School Dist 4. I teo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes* No74 #of Net New Unit - <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No J Calculate. : ool Impact Fee: <br /> Architectural Approved By/Date: t ki air? S- .ol Impact Fee Credit: <br /> Structural Approved By/Date: 7 Total School Impact Fee Owed: n�I� <br /> Comments: —" r•-- '17.4-"'x' /14/i+ Comments: -I�,I%LIa k , U� _ . wo - I - <br /> C""A 1 ) <br /> Intake OK by: At �C tl t� Intake OK'd:'f / Ok to route t Hold _ <br /> Make this a"W' rmit? Yes_ No_ ei <br /> PUBLIC WORKS <br /> FEES .. 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 folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: ire Date: g=2/-/7 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee AsaPW 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 />