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FOR OFFICE USE ONLY PERMIT# " \71 l'n 61 <br /> BUILDING PLANNING <br /> Bldg/Tl/Addn/Rem Size Zoning Classification g-- <br /> Garage Size Overlay/Agreement <br /> VALUATION 2-°1 °°`' Nonresidential Use <br /> Number of Stories / Residential Use P1anJ-Ciuku (J <br /> Occupancy Group 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 - 34.i needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> I—ExiReason Approved by: 1Z,.,1.1.(1c\ Date: II— <br /> Existing <br /> sting Fire Alarm Yes_ No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes_ No C <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: Chit' ///40,- School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 2.0 is /71., Comments: N Mpo Jcadc-v <br /> �-c e lace- - Xi )A-°0 ® nom px 1pndie <br /> 6(15'6 COO�'fNiAV J Q_'° <br /> Intake OK by: Intake OK b . Ok to route _ Hold <br /> Make this a"W" Permit? Yes No <br /> P BLIG WORKS,. <br /> FEES INTAKE: Checked By Date: 1 <br /> Plan Check Fee Comments: !\M ( ` D f <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-ConcurrentJJReview(separate gre-n f.Icier) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:.. r 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: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: c2/t:.,) <br /> Comments: <br />