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FOR OFFICE USE ONLY PERMIT# jtr -l0 —OJZ <br /> BUILDING PLANNING <br /> BIdn/Addn/Rem Size /G xra K Zoning Classification C " \ <br /> Garage Size �^� Overlay/Agreement <br /> VALUATION ,S) 0 Nonresidential Use Qe�'So&o\ suv:Ce S <br /> Number of Stories / Residential Use ` !— <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> / <br /> Occupant Load j/ Total No.of Dwelling Units: <br /> p <br /> Basement No' Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction (l— 6 needed before final? Yes_ No X <br /> Existing Sprinkler System? Yeses No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason Approved by: Date: \.d [I. (2ak <br /> Existing Fire AlarmZS- <br /> Yes No_Unk_ Historic Approved by: -----' Date:`/ —^ <br /> Fire Alarm Required Yes Y No_ School Mitigation Reqd? Yes_ No X <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: /i-; / Z1 V School Impact Fee Credit: <br /> Structural Approved By/Date: v Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: <br /> ,l'� 44117' Intake OK by: Ok to route r\ Hold _ <br /> Make this a"W' -ermit? Yes_ No_ <br /> .. ... .... .... . <br /> PUBLIC WORKS. <br /> FEES,,:: INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: A <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- OT 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: 11/ /-4- <br /> Water <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 ARE DEPARTMENT . <br /> School Mitigation Fee Update/New Sprinklers Yes / No_ Existing Bldg. l <br /> Update/New Detection .Yes / No_ Existing Bldg. / <br /> Update/New Chemical Yes_ No 7 Existing Bldg. <br /> Update/New Fire Service Yes_ No / Existing Bldg. <br /> Approved by: Date: APO Zt /417 <br /> Comments: � (g, <br />