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FOR OFFICE USE ONLY PERMIT# O2 —002 <br /> BUILDING PLANNING <br /> BldgJTl/Addn/Rem Size Zoning Classification R-2_ _ <br /> Garage Size C} Overlay/Agreement <br /> VALUATION ,1J�160, -- Nonresidential Use <br /> Number of Stories Residential Use 5f, + .4-1 G( I24&at <br /> Occupancy Group 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: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason Approved by:(---75-47. <br /> y:c5 ' Date: (11 l a(I 2°kr <br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved by: •P I Ar- Date: <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes No A <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: Tt7ca/.l15 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 2,0/6- /2L WS6C.. Comments: ( 1mg" Vt_ <br /> Intake OK by: 4 Intake OK by:_ Ok to route ice. Hold _ <br /> Make this a"W" Permit? Yes_ No X <br /> LIC WORKS <br /> FEES, INTAKE: Checked BY: Date: molal Zdl8 <br /> Plan Check Fee Comments: 9211.5 dfAi 44A cA.P#(4 /9tX t� <br /> Building Permit i t412t icro rt i�l rd i'7"� S <br /> n® sift- i No IV per• (ipEVI --DEN1FA <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 181 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurren evieww(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer. L _Date::t .3t—Zo <br /> A <br /> al <br /> Water Fee Y`J PW Permit Approved-PW I1O55—06'7 <br /> Sewer Fee 2rSee 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_ Existing Bldg._ <br /> Update/New Detection Yes No_ Existing Bldg. <br /> Update/New Chemical Yes No— Existing Bldg._ <br /> Update/New Fire Service Yes_ No_ Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br />