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FOR OFFICE USE ONLY PERMIT# rW (S6,-644 <br /> BUIiLDING PLANNING, <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <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.lI_ f <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspectorf f C4 -C,S Ci Vl '�i(Gl 0 h <br /> Fire Sprinkler Required Yes_ No Phone#: £ 2.25 75"—÷ - e-7 O <br /> Reason Approved Date: /221I p <br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved by: ----a- 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: School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Six , �jaj Psi' /� Comments: <br /> ' <br /> ant of/oh khan <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes No <br /> PILISsliC WORKS . <br /> FEES INTAKE: Checked By:. -! Date: <br /> Plan Check Fee Comments: 4 / /71 paa/" - �/'� CtUlr n9 <br /> pui <br /> Building Permit ✓ i P' 5 ,¢ <br /> Ar Mortuary, <br /> �►'e� <br /> Surcharge High Hazard Sites(Dental/Medical,Anirhals, rtuary,etc-Review for RP /°'a, <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-Concurren evi w(separate gr en fol er) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer ,3 Date: �f�3 $ <br /> Water Fee 14/PW Permit Approved-PW1R03- 01 <br /> Sewer Fee ❑I 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: <br /> Comments: (2-INN) <br />