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FOR OFFICE USE ONLY PERMIT# b q <br /> . BUILDING `` PLANNIN <br /> Gn <br /> Bldg/TI/Addn/Rem Size Zoning Classification I`�\ - \ <br /> Garage Size Overlay/Agreement 5 \ ,,� <br /> VALUATION Nonresidential Use ln��ll'Q. (se <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units:I <br /> Basement No- Yes_ Fin / Unfin Landscape or Planning Insp ion <br /> Type of Construction needed before final? es_ No_ <br /> Existing Sprinkler System? Yes_ No—Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by� —" Date: ( ' f rO‘Sr <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: ).-)('Pc Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No_ <br /> Reason Everett School Dist Mukilteo School <br /> RCW 64.55 ME 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: ,� School Impact Fee Credit: <br /> Structural Approved By/Date: ' ► IV Total School Impact Fee Owed: <br /> Comments: , Comments: <br /> Intake OK by: Intake OK by: Ok to route _ Hold <br /> Make this a"W"Permit? Yes No <br /> PUBLIC WORKS <br /> • FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit Dt Y\et )146/UV �n <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,r ary,W"tc-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: Date: <br /> Water Fee 0 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 FIRE DEPARTMEN7 <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 S-rvice es_ No xisting Bldg.— <br /> Approved by: I Date: g--10- <br /> Comments: <br /> 10-Comments: vui (f'I il� rl��z G �' y k1/k. di it, <br /> 64.1Yrtire pht/Kt 91;14,‹ *is v-otk4.44.__/,‘A,t <br /> 2/2 <br />