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FOR OFFICE USE ONLYPERMIT# C fl 6(,-o2g <br /> BUILDING PLANNING. <br /> Bldg/TI/Addn/Rem Size 0 lc .-5-fr Zoning Classification <br /> Garage Size 5 25. 5',h Overlay/Agreement <br /> VALUATION Sys, t�® Nonresidential Use <br /> Number of Stories 2- Residential Use <br /> Occupancy Group i/u Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes No <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector...AZ l 4y(IA S — <br /> Fire Sprinkler Required Yes No_ Phone#: ir L i .- -7 5i 3 7 <br /> Reason Approved b "-Date: 1 (t5(l <br /> Existing Fire Alarm Yes_ No—Unk_ Historic Approv by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes jt , 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: /Z///72 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: a 0 ,s /AC , r.556C Comments: S S1C- 067 U <br /> Intake OK by: Intake OK by: IL1\-- Ok to route _ Hold _ <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: fr2i Date: 6 -21-1 7 <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 ❑�Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee L ,amRoute 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: i 6) Date: 7 //r--17 <br /> Water Fee a'PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT , <br /> School Mitigation Fee Update/New Sprinklers Yes_ No� xisting Bldg._ <br /> Update/New Detection Yes_ No ,/ Existing Bldg. <br /> Update/New Chemical Yes_ No f xisting Bldg. <br /> Update/New Fir S( A'te ice Yes_ No / Existing Bldg. <br /> Approved by: )t . Date: "1-411)--i, <br /> Comments: <br />