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FOR OFFICE USE ONLY PERMIT# z n 1 O - OZ2- <br /> BUILDIN PLANNING <br /> Bldg/TI/Addn/Rem Size 3// 80c 4) Zoning Classification 2.-s-' /6- I <br /> Garage Size ' Overlay/Agreement eL,...6 <br /> VALUATION 3 (921I ;61 Nonresidential Use <br /> Number of Stories 3 Residential Use <br /> Occupancy Group g/ a) i\ ` �.~o2 Proposed No.of Dwelling Units: ��11 <br /> Occupant Load p�l 9 Total No. of Dwelling Units: gto <br /> Basement No X_ Yes— Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V .- U needed before final? Yes No <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: 17441 cJ lig/i45'014 <br /> Fire Sprinkler Required Yes` No Phone#: `t Z.-5' Z--5---7 61 5 1 <br /> Reason Approved b e. / Z/�'(t 7 <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Appr ed by: Date: <br /> Fire Alarm Required Yeses 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'RCW 64.55 docs required prior to final?Yes No—t_ %. Calculated School Impact Fee: <br /> Architectural Approved By/Date:G.I2P— Diz. let /7 School Impact Fee Credit: <br /> Structural Approved By/Date: t ts(e i f t4 Total School Impact Fee Owed: <br /> Comments: Comments: 5cu ,-)-0014 / i1-O+ <br /> Intake OK by:.' (o%)1.R-- Intake OK by: Ok to route — Hold K <br /> Make this a"W"Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Pla �' - I Comments: <br /> Bui 5 51eit1 e-- -a- <br /> Sur q-Ivort High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Ack �(j�) 0 Public Works/Sys Dev/Traffic Mit./RPBA- NOT REQUIRED <br /> Plu 12-, ?f v T �' 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mei 3‹..7), a&Cj `7( 3' 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Pln j e PW REVIEW: PW Reviewer: Date: <br /> Wa / g9 $40/ gag 0 PW Permit Approved- PW <br /> Seg �/ _(1 O�� 0 See PW Review Worksheet <br /> Sys " i,."1t ZIP^ZIP 0 PW Permit Not Required <br /> Tra „a . a`61-1/ 074C <br /> Puk [ [ FIRE DEPARTMENT <br /> set 1 Update/New Sprinklers Yes 7 No_ Existing Bldg._ <br /> — Update/New Detection Yes 7-No_ Existing Bldg._ <br /> Update/New Chemical Yes_ No_ Existing Bldg._ <br /> Update/New Fire S rvi Yes 7 No_ Existing Bldg. <br /> Approved by: \ Date: t I.-Z,$- 1. 1 <br /> Comments: <br /> QK-'- \rS 4---1 Mg .` <br /> -- <br />