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FOR OFFICE USE ONLY PERMIT# q- t 0 'O( ( <br /> BUILDING PLANNING <br /> Bldg/Tl/Addn/Rem Size 177 Zoning Classification T - 21 j <br /> Garage Size �,�) Overlay/Agreement <br /> VALUATION4-71C/C Nonresidential Use CL-1011 C <br /> Number of Stories / Residential Use <br /> Occupancy Group /J Proposed No.of Dwelling Units: —' <br /> Occupant Load IPC, Total No. of Dwelling Units: _ <br /> Basement No s6 Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction ^tom �—B needed before final? Yes_ No j� <br /> Existing Sprinkler System? Yes 15 No Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes -X) No_ Phone#: —411111. ir <br /> /, ''Reason Approve• i& Date: 10 l( Z_ <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 Schoo • <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 Im Fee: <br /> Architectural Approved By/Date: 2.4 iC7J)1)7 School Imp ee Credit: <br /> Structural Approved By/Date: Total chool Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: 1./�« Intake OK by: Ok to route _ Hold <br /> Make this a"W"4 <br /> W" ermit? Yes No <br /> PUBLIC WORKS <br /> FEES .'i INTAKE: Checked By: 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: Ale) Date: `O-S 1 7 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee gi 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 /> q <br />