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FOR OFFICE USE ONLY PERMIT# c'Fa2 –00 CO <br /> BUILDIN(a PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification 2_— <br /> Garage <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use COM fry,a,;&\ <br /> Number of Stories 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 needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by: 1t.\ Date: \ 7-- 13— 1'1 <br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes No Nit <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'l RCW 64.55 docs required prior to final?Yes_ o Calculated School Impact Fee: <br /> Architectural Approved By/Date: .41 School Impact Fee Credit: <br /> Structural Approved By/Date: \ LTotal School Impact Fee Owed: <br /> Comments: 41r <br /> Comments: <br /> Intake OK by: Intake OK by: Ok to route Hold _ <br /> Make this a"W"Permit? Yes— No_ <br /> .1 1.. PUBLIC WORK <br /> FEES-,: INTAKE: Checked By: P-te: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Den al,Animals,Mort .ry,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works Sys eve" raffic Mit./ r'BA- NOT REQUIRED <br /> Plumbing Fee 0 Route for Publi or Review(bl•4 folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permi oncurrent Re '-w(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 Works -et <br /> Systems Dev. Fee 0 PW Permit Not Requi -d <br /> Traffic Mitigation Fee <br /> Public Works Fee • EIRE DEPARTMENT <br /> School Mitigation Fee Update/New Spri lers Yes_ No_ Existing Bldg._ <br /> Update/New D-tection Yes_ No_ Existing Bldg._ <br /> Update/Ne Chemical Yes— No_ Existing Bldg. <br /> Update/ •w Fire Service Yes_ No_ Existing Bldg. <br /> Approv=;•-by: Date: <br /> Comments: <br />