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FOR OFFICE USE ONLY PERMIT#Ie � k(0 -00(4 <br /> BUILDING PLANNING <br /> Bldg/TI/Add Rem Size 0/A Zoning Classification -Z <br /> Garage Size Overlay/Agreement <br /> VALUATION 02, t2 ® Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group /Z Proposed No.of Dwelling Units: .-- <br /> Occupant Load /A Total No. of Dwelling Units: <br /> Basement No Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No t------ <br /> Existing <br /> Existing Sprinkler System? Yes_ No Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No-6 Phone#:- <br /> Reason Approved byt0( Date: <br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved by: Date: 11 <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes_ No <br /> Reason Everett School Dist Mukilteo - ool 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_ NoCalculated Sch•= mpact Fee: <br /> Architectural Approved By/Date: o7-fY /> Schoo pact Fee Credit: <br /> Structural Approved By/Date: Total School JI�mpacctt Fee Owed:�� / <br /> Comments: Comments:✓0 t `c r_ I <br /> 1f <br /> Intake OK •y:(147___.(6 V ` Intake OK b Ok to route Hold _ <br /> Make this a "Pe ••• . 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,Animals, Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ 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: kB Date: /0- 9`/7 <br /> Water Fee 0 PW Permit Approved- PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee Z 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 />