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FOR OFFICE USE ONLY PERMIT# I (1O1 �� J <br /> BUILDING PLANNING, <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Qier-age,Size Overlay/Agreement <br /> VALUATION 4o00 Nonresidential Use <br /> Number of Stories ( Residential Use Pc6c-a--- o <br /> Occupancy Group LA 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 c 4 needed before final? Yes_ No ✓� <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: -Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved b" 1101 Date: <br /> Existing Fire Alarm Yes_ No Unk_ Historic Apprc ved by: Date: <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!RCW 64.55 docs required prior to final?Yes No_ Calculated Sch.. mpact Fee: <br /> Architectural Approved By/Date: Vzps4 School 'act Fee Credit: <br /> Structural Approved By/Date: !` Total School Im.act Fee Owed: g <br /> Comments: Comm: *for ) �.GLQlu �a�l0 <br /> i •/ L� � <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:,4F Date: -- <br /> Plan Check Fee Comments: N Q PIA) <br /> ` S <br /> Building Permit �(� <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check .tel 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-Concurren`Review(separate gree fold ) <br /> Ping Bldg Review Fee PW REVIEW: PW RevieweDate: 20 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. FeePW 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 />