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FOR OFFICE USE ONLY PERMIT# .9I ".0J$ <br /> BUILDING i PLANNING <br /> Bldg/TI/Addn/Rem Size /0400 If Zoning Classification C_ — \ <br /> Garage Size Overlay/Agreement �n,-� <br /> VALUATION 7'4 Oa40 Nonresidential Use (e_S\ _ �� lX�r I, \f <br /> Number of Stories / Residential Use <br /> Occupancy Group .6 Proposed No.of Dwelling Units: <br /> Occupant Load /g Total No. of Dwelling Units: <br /> Basement No_ Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction —lit A needed before final? Yes_ No �. <br /> Existing Sprinkler System? Yes' No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes—2$ No_ Phone#: <br /> Reason Approved by: __ `L Date: r /20 f /_s3\' _ <br /> Existing Fire Alarm Yes t No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes-15No_ School Mitigation Reqd? Yes_ No <br /> Reason Everett School Dist Mukilteo School ' <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No j> #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No / Calculated School Impact <br /> Architectural Approved B /Date 7 School Impact Fee edit: <br /> Structural Approved By /Date: �-`,I I / 1 Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: 'i &(�/ % i Intake OK by:C...... Ok to route Hold _ <br /> ir <br /> Make this a"W" "ermit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: /.'('‘ <br /> Plan Check Fee Comments: <br /> Building Permit fi �(.� dytd S�'i�� <br /> Surcharge High Hazard Sites(Den / edical,Anim s,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check [J Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee Er Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: l"a Date: '->`• <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee I'* 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 /> v <br />