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VX i 'e' arbudiA# <br /> FOR OFFICE USE ONLY PERMIT# On O5'ao Z <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size /J/. 4 Zoning Classification2 <br /> c <br /> Garage Size Overlay/Agreement -AV(A 44 CUL <br /> VALUATION /Z'f1 9c-Z) Nonresidential Use <br /> Number of Stories / Residential Use _ <br /> Occupancy Group R Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: 1 <br /> Basement No_Yes-_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction ,re needed before final? Yes ✓-No <br /> i <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspecto �Q. 'if O/V <br /> Fire Sprinkler Required Yes_ No Phone#: L-2 "2-5-1 - -1 1�5 <br /> Reason Approved Date: 1 21 t4 I i i- <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved Date: 124 Li, 1 t .- <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes_ No <br /> Reason Everett School Dist ✓IrAukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No_ #of Net New Units <br /> Addl RCW 64.55 docs required prior to final?Yes_ No_ Calculated School Impact Fee: /gyp <br /> Architectural Approved By/Date: c /2//f3/'# School Impact Fee Credit: �"l <br /> Structural Approved By/Date: Total School Impact FeedOwed: <br /> Comments: Lo/S-- `2 �.� C Comments: p tv 1, O l $`` ` ',1' .,. <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes_ No_ <br /> PUBLIC WORKS <br /> FEES • INTAKE: Checked By: Date: <br /> 0 • " " Comments: <br /> Plan Check Fee <br /> Building Permit <br /> Surcharge - High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check g ; 4 .` ❑ Public Works/Sys Dev/Traffic Mit./RPBA- NOT REQUIRED <br /> Plumbing Fee ,,, n, , 1 13 U .: <br /> 1 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> IWw ° <br /> Mechanical Fee �, 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee 1 , 1 5 0_u x 0 PW Permit Approved-PW <br /> Sewer Fee AfAlittatd1 0 0 u u), 0 See PW Review Worksheet <br /> Systems Dev. Fee 11 5 , out) o a_ .w 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee 1 2 9 , 9 v U - 0 t - }SIRE DEPARTMENT . <br /> School Mitigation Fee Update/New Sprinklers Yes_ No_ Existing Bldg.__ <br /> 0 0 0 . <br /> - Update/New Detection .Yes_ No_ Existing Bldg.joi _ <br /> (, "r1 4 9 0 ,i t) r• Update/New Chemical Yes_ No Existing Bldg._ <br /> V V - Update/New Fire Service Yes_ No_ Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br /> col)":„„) <br />