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FOR OFFICE USE ONLY PERMIT# t q-03- 002. <br /> BUILDING .:, PLANNING ". <br /> Bldg/TI/Addn/Rem Size Zoning Classification ," 3 <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use t•Ae- <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 • 'fi� Date: '/ / <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 -•ol 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 •act Fee: <br /> Architectural Approved By/Date: School 1•...ct Fee Credit: <br /> Structural Approved By/Date: V (PN.- • al School Impact Fee Owed: <br /> Comments: / Comments: • <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• Date: <br /> Plan Check Fee Comments: Ivo 9W (,�f/ n3 jo7J <br /> Building Permit .�li 1a�, 1bYL Or r r <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ® Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent eview(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: -1/6/21,14- <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet Min <br /> Systems Dev. Fee ttPW 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 />