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FOR OFFICE USE ONLY PERMIT# <br /> BUILDING PLANNING . <br /> Bldg/TI/Add l ize Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 7Otvez, Nonresidential Use <br /> Number of Stories I Residential Use 1 <br /> Occupancy Group 12. Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No.;)( Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction 213 needed before final? Yes_ No <br /> Existing Sprinkler System? Yes No_Unk_ Planning Inspector: a <br /> Fire Sprinkler Required Yes_ No_ Phone#: 0 t i A3 <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Yes_ No_Unk Historic Approved by: AI l/ Date:/ <br /> ` <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes_ No 1� <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: Vi-77;g School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fe wed: <br /> Comments: Z0/5- /r . Comments: <br /> Intake OK by: Y-11.' Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes_ to <br /> PUBLIC:WORKS <br /> FEESINTAKE: 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: Date: 3/11(1$ <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee 'ARE 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: b L <br />