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FOR OFFICE USE ONLY PERMIT# Z\r4c9-04 0 <br /> BUILDING PLANNING <br /> Bldg/7'I Add Rem Size q3-7Zoning Classification <br /> M _ M <br /> Garage Size Overlay/Agreement (,,, ' <br /> VALUATION AS.-01 O vd Nonresidential Use e "E 'kt�C O'lf\ <br /> Number of Stories /44/52'Z Residential Use <br /> Occupancy Group —I Proposed No.of Dwelling Units: <br /> Occupant Load 3 Total No. of Dwelling Units: <br /> Basement No Ni‘ Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction -J needed before final? Yes No' <br /> Existing Sprinkler System? Yes / No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason Approved by:( __,< Date: 9 (2LI Wil' <br /> Existing Fire Alarm Yes No Unk_ Historic Approved by: ---- Date: ^ <br /> Fire Alarm Required Yeo 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_ N-91 #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes— No-1 Calculated School Impact Fee: <br /> Architectural Approved By/Date: L(32;5 3l)Olf7 School Impact Fee Credit: <br /> Structural Approved By/Date: ,i / 10/V0 q- Total School Impact Fee wed: <br /> Comments: Comments: <br /> Intake OK by: 4' 411Qo- Intake OK by: Ok to route Hold _ <br /> Make this a"W" 'ermit? Yes No <br /> PUBLIC WORKS <br /> FEES • INTAKE: Checked By: ,� Date: 176 <br /> Plan Check Fee Comments: (( <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- NOT REQUIRED <br /> Plumbing Fee ❑ 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: 7,-- Date: 1/2 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee FPW 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 ZExisting Bldg. <br /> Update/New Fire Service Yes No�Existing Bldg._ <br /> Approved by: .(z...,_„,.. ..."-- <br /> ( Date:/0/O-/? <br /> Comments: <br />