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FOR OFFICE USE ONLY PERMIT# b(g0 --- 04-9 <br /> BUILDINt ;PLANNING <br /> Bldg I/ do/Rem Size t OJ 23 4 -f--4-7-- Zoning Classification C^ <br /> Garage Size Overlay/Agreement <br /> VALUATION 4 2 0, DDP Nonresidential Use 6$V GQ <br /> Number of Stories + Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load 12 Total No. of Dwelling Units: <br /> Basement No >' Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction I.E. - *0' needed before final? Yes No <br /> Existing Sprinkler System? Yes No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes X No_ Phone#: <br /> Reason •Fr e rt ax.l y IC..9' tl, Approved by1-' Date: A ZL\ `ZO‘SI <br /> Existing Fire Alarm Yes ?< No_Unk_ Historic Approved by:(J 1 Jr Date: <br /> Fire Alarm Required Yes X No_ School Mitigation Reqd? Yes No 4 <br /> Reason 1r'c j .*k vt t 1c t4-4rq Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No A J #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ Nod( Calculated School Impact Fee: <br /> Architectural Approved By/Date: GJ/14 f'$ School Impact Fee Credit: <br /> Structural Approved By/Date: r Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK b 0�'/zV/ZD/48 Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes No <br /> INTAKE: <br /> K <br /> P. BLIP WORKS <br /> FEES... . Checked By.. - Date. <br /> Plan Check Fee Comments: pp evi Scelp,e_ <br /> Building Permit E)C?) 40 dump 6è1 <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check NrPublic 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 Review(separate gr n fol er) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewers- /"' Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet n►Pig. <br /> Systems Dev. Fee Nr PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes 7 No_ Existing Bldg., <br /> Update/New Detection Yes, No Existing Bldg. <br /> Update/New Chemical Yes_ No7frxisting Bldg._ <br /> Update/New Fire service Y _ No . Existing Bldg. <br /> Approved by: I i mate:j-1 -t <br /> Comments: "Fre_�c ty- <br />