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FOR OFFICE USE ONLY PERMIT# 611tA- Ov 1 <br /> BUILDING :: PLANNING'.: . <br /> Bldg/TI/Addn/Rem Size / trzo CP Zoning Classification 3— 1 <br /> Garage Size "" Overlay/Agreement <br /> VALUATION 10, 00o Nonresidential Use '1-NC— lm <br /> Number of Stories I Residential Use <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 I! 5 needed before final? Yes_ No v— <br /> Existing Sprinkler System? Yes_ NO Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ NoIS Phone#: / <br /> Reason Approved r lly Date: 131/6/0 <br /> Existing Fire Alarm Yes_ No—Unk� Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No 2f. School Mitigation Reqd? Yes_ No <br /> Reason Everett School Dist Mukilte ool Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No' #of Net New Units: <br /> Add'l RCW 64.55 docs required prior to final?Yes_ No 2 -7 Calculated S oI Impact Fee: <br /> Architectural Approved By/Date• t �/� V 1571 / Sh mpact Fee Credit: <br /> Structural Approved By/Date: / Total School Impact Fee Owed: <br /> Comments: Comments: pL,i <br /> Intake OK by: 1/I el20)1} Intake OK Ok to route _ Hold t..---1 <br /> Make this a"W'4-ermit? Yes No I <br /> ,. .. PUBLIC:WORKS ;: <br /> FEESINTAKE• Checked By: KB Date. 9 - -1 7 <br /> Plan Check Fee Comments: / <br /> Building Permit No Sys, GQv, -Fee, <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check X • • • - • - - •. "=' -K"T REQUIRE <br /> Plumbing Fee ❑ 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 0 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 />