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FOR OFFICE USE ONLY PERMIT# <br /> 611®g-00 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classificationc- <br /> Garage Size 7 ry semOverlay/Agreement <br /> VALUATION ZZI 32.0 Nonresidential Use <br /> Number of Stories / Residential Use �.a � <br /> Occupancy Group t( Proposed No. of Dwelling Units: 0&Q <br /> Occupant Load Total No. of Dwelling Units: C <br /> Basement No X Yes Fin / Unfin Landscape or Planning Inspection V <br /> Type of Construction j needed before final? Yes_ NoI� <br /> Existing Sprinkler System? Yes— No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: — <br /> Reason Approved by:< ._....... C. <br /> Date: g(o /1--0\--A- <br /> Existing <br /> \` - <br /> Existing Fire Alarm Yes No__Unk_ Historic Approved by: ------ Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No <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: /j/q`%7- School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: rs//26. Comments: <br /> Intake OK by: Intake OK by: Ok to route _ Hold <br /> Make this a"W"Permit? Yes No <br /> ' PUBLIC WORKS <br /> INTAKE: Checked B <br /> FEES:: : ,. � ': `: '' Y: 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 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: f;I / <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 1 <br /> School Mitigation Fee Update/New Sprinklers Yes_ No 1,Existing Bldg._ <br /> Update/New Detection Yes_ No / Existing Bldg._ <br /> Update/New Chemical Yes— No 7, 'xisting Bldg. <br /> Update/New Fire Service Yes_ No Existing Bldg._ <br /> Approved by: Date: ;gt.S-t <br /> Comments: <br />