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FOR OFFICE USE ONLY PERMIT# ?k SZ)(0 -033 <br /> BUILDING PLANNING <br /> Bldg fi�l 4ddn/Rem Size 2.Q4t'b -N-2 Zoning Classification i"'i-1 <br /> Garage Size -- Overlay/Agreement <br /> VALUATION fid✓MoD Nonresidential Use <br /> Number of Stories 2- Residential Use <br /> Occupancy Group iF7 Proposed No. of Dwelling Units: <br /> Occupant Load �3 Total No. of Dwelling Units: <br /> Basement No )( Yes- Fin / Unfin Landscape or Planning Inspection • <br /> Type of Construction \( needed before final? Yes_ No Y <br /> Existing Sprinkler System? Yes A) No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes ?t No_ Phone#: I/ <br /> Reason V-4411,4-1 N Approved by: V . Date: �o�7i7 I-`� <br /> Alarm Yes x No Unk Historic Approved b : Date: <br /> Existing Fire a _ pP Y <br /> Fire Alarm Required Yes x No_ School Mitigation Reqd? Yes_ No <br /> Reason V--iN's 'n/ 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: / ' 7/ Ie School Impact Fee Credit: <br /> Structural Approved By/Date: o Total School Impact Fee Owed: <br /> Comments: Comments: Tt o oa eideiur ctrtanr,t , fetn&eP/ao,,ee/ <br /> w 'o+- °F s ,y-.'>r Occee4" co,or„>S ree'aced <br /> in�w�'a- <br /> Intake OK b •� ,/f//.8 Intake OK by: LK Ok to route _ Hold <br /> Make this a"W"Permit? Yes No <br /> P .BLIC WORKS <br /> IN Dat <br /> FEES TAKE: Checked By: e: <br /> Plan Check Fee Comments: AM duzAit ere vs�- <br /> Building Permit /* PdrAJ e- olferk. <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check Public 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 view separate gree fol er) <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 T Existing Bldg. f <br /> Update/New Chemical Yes_ No7 Existing Bldg. (z.„..Update/New F' a Service Yes No Existing Bldg. <br /> Approved by: Date: )-241,1 <br /> -'( <br /> Comments: <br />