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FOR OFFICE USE ONLY PERMIT# C L) 1 63"O& - <br /> BUILDING PLANNING <br /> Bldg/Tl/Addn/' i •ize //S0 sr Zoning Classification �- 1 <br /> Garage Size 2 ,0 S_ Overlay/Agreement <br /> VALUATION Sod 00 Nonresidential Use <br /> Number of Stories I Residential Use Jct <br /> Occupancy Group 9A Proposed No.of Dwelling Units: --"'— <br /> Occupant Load Total No. of Dwelling Units: 1 <br /> Basement No Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V E needed before final? Yes_ No X <br /> Existing Sprinkler System? Yes_ No Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: _\ vl I <br /> _1_>3.0 C‘', <br /> Reason Approved by: �.1.1Date* . - --jit <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 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: /q/,53 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 2D/S //ZC 0. (,r!,9..S-G Comments: �Y� , US no <br /> o NIGER-T 4-/2-000 127- mr,› G42A4 <br /> Intake OK by:____e___ Intake OK by: 11--W Ok to route _ Hold X <br /> Make this a"W"Permit? (\es)c No_ <br /> P : .GIC WORKS <br /> FEES . ' INTAKE: I V V Checked By. Date: i � vis <br /> Check Fee Comments: ett) g <br /> Building Permit t 0 <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check WPublic 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 gre n f Icier) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: - Date: <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 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: (jtiAy ` Date: ti...,2/(t-,i <br /> Comments: l <br />