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FOR OFFICE USE ONLY PERMIT# 13l go 5—v41/- <br /> BUILDING PLANNING . <br /> Bldg/TI/Addn/Rem Size Zoning Classification \- \ <br /> Garage Size c (C 7_ 5 F Overlay/Agreement IACN..L1` -\;`` <br /> VALUATION /300 Nonresidential Use <br /> Number of Stories I Residential Use SV(t <br /> Occupancy Group (A Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: C:04\A. <br /> Basement No_ Yes_ Fin / Unfin Landscape or,Planning Inspection <br /> Type of Construction needed before final? Yes_ No 1� <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approved by: C----- sP Date: &'/'LS/201 p' <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: 11/4)(4- Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes_ No 11/4 <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: r/ ' (✓ .S"''XSchool Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: f <br /> Comments: 7_,,(9)‘- //Lc Comments:3,, lieu J ILL 4A- .1-3-14.44xid <br /> Aikk (, 24i1.? <br /> CAIllittl <br /> Intake OK by: CZO_____ Intake OK by. Ok to route ) Hold g_ <br /> Make this a"W" Permit? Yes C o <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <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 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 0 Route 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: X- Date: -,-,172.3---- <br /> Water <br /> f2,3-- <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee ' %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:AO- <br /> t A <br />