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(O ( FOR OFFICE USE ONLY PERMIT# ,%02. cd,O <br /> BUILDING PLANNING <br /> Bld.ip ddn/Rem Size Zoning Classification Ci n <br /> Garage Size J" Overlay/Agreement <br /> VALUATION I00 i dC6 <br /> Nonresidential Use i ® <br /> Number of Stories / Residential Use <br /> Occupancy Group 0/1 �^ Proposed No. of Dwelling Units: <br /> Occupant Load —161'a-74 //✓5 Total No. of Dwelling Units: <br /> Basement No_ Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction ii '`X.'~/V needed before final? Yes_ No '� <br /> Existing Sprinkler System? Yes No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes -8 No_ Phone#: <br /> Reason Approved by: .)-\•p<,1\ Date: ei/Z c /i" <br /> • Y <br /> Existing Fire Alarm Yes CC_JJ No—Unk_ Historic Approved by: 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—Z‘ 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: 54/44YL 1 g School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: �^ <br /> Comments: Comments: LJn„a-a �t w /tMl rev, <br /> Intake OK by: ,:1,// CAI 1$ Intake OK by: PIA- Ok to route /X Hold _ <br /> Make this a"WI'ermit? Yes No <br /> PUBLIC WORKS C7/ / <br /> SEES INTAKE: Checked By: / Date: ,6..rir <br /> Plan Check Fee Comments:� /(c,` Y31� a.4e/11, ice- <br /> Building Permit "4ts-0-- -tel- d`� ' e'^z-.. �`dL " ?l — <br /> Surcharge High Hazard Sites(Dental/Medical,Anim....#,, <br /> s,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REOUIRED <br /> Plumbing Fee P Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent R view(separate gre older) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: <br /> Date: ^! <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 7,1 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: 1 <br />