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FOR OFFICE USE ONLY PERMIT# I.t < —Oki <br /> BUILDING PLANNING . ,. <br /> Bld I/Addn/Rem Size 5 / 70 `fr Zoning Classification 12.- "i }2- 2_1 13 M;U <br /> Garage Size Overlay/Agreement ..-- <br /> VALUATION -1,44/1/ `w‘000 Nonresidential Use ()0/,, ($ -' <br /> { <br /> Number of Stories / Residential Use _ <br /> Occupancy Group E Proposed No. of Dwelling Units: r------- <br /> Occupant <br /> —� <br /> Occupant Load el d V Total No.of Dwelling Units: <br /> Basement No' Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction v— needed before final? Yes_ No\/ <br /> Existing Sprinkler System? Yes No 6 Unk_ Planning Inspector: . <br /> Fire Sprinkler Required Yes_ No25' Phone#: -- <br /> Reason Approves.M" f/ Date: I t / 1(0`(-- <br /> Existing Fire Alarm Yes- No Unk— Historic Approve: by: Date: <br /> Fire Alarm Required Yes.)` No— School Mitigation Reqd? Yes No <br /> Reason Everett School Dist Muk' -= chool Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ NoY #of Net New Units' <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No Calculate. : ool Impact Fee: <br /> Architectural Approved By/Date: ZAZO. I g n•t 7 S -.oI Impact Fee Credit: <br /> Structural Approved By/Date: La2F Z`S l I Total School Impact Fee Owed: <br /> Comments: Comments: Y! iT r' - --/Th--) ?�,L ,U""""`- <br /> 02 � .�Z 5 .0T • REAM-A.- <br /> tt ,C., to . Z-E 1 i l50•C 2(a <br /> A- ' <br /> Intake OK by: Intake OK b,. Mk Ok to route _ Hold <br /> W <br /> Make this a"W"Permit? Yes No <br /> ': .. .., RRBUC ORKS <br /> FEES INTAKE: Checked By: Date r <br /> Plan Check Fee Comments: lnd.YGt: loweq./L/4` # , " f <br /> Building Permitto' ' , ` ' 1,P-_ <br /> eY i bE b ""mild i S1,00)xt <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 13 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate gre n fol er) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: 20 <br /> Water Fee ErPW Permit Approved-PW 1802-OZO <br /> Sewer Fee 0 See PW Review Worksheet >i:/E, r1e� hi <br /> Systems Dev. Fee 0 PW Permit Not Required s'1 //kit Ja tr/An. <br /> Traffic Mitigation Fee So jn -to All eF{Ei"musi"$oii r rnl►f <br /> Public Works Fee "' FIREDEPARTMENT , ,_/ar"' 1f� <br /> School Mitigation Fee Update/New Sprinklers Yes— No )(..-Existing Bldg. <br /> Update/New Detection Yes— No INC-Existing Bldg.— <br /> Update/New Chemical Yes_ No X Existing Bldg.— <br /> Update/New Fire Service Yes_ No 'X'Existing Bldg. <br /> Approved by: Date: <br /> Comments: / �, L� <br /> iv r�/J. 3/2.9/I ink"lime W sv6, a <br /> `SPP P � • <br />