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FOR OFFICE USE ONLY PERMIT#T2 (1 \2--O t. I <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size / g -L / 0 . Zoning Classification [J-ZS S <br /> Garage Size . 3 7 7 Overlay/Agreement <br /> VALUATIONyvs_itg. , 0 Nonresidential Use (jj <br /> Number of Stories : Residential Use "�— <br /> Occupancy Group A -(9- /A - 3 Proposed No. of Dwelling Units: -'-'-- <br /> Occupant Load 6 / Total No.of Dwelling Units: r--- <br /> Basement No Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction "E needed before final? Yes_ No <br /> Existing Sprinkler System? Yes - No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved b) --5- - Date: 12 !2--%- ) k - <br /> Existing Fire Alarm Yes 7Z No Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes_ No 1'C <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No-74- <br /> of Net New Units: <br /> Add'i RCW 64.55 docs required prior to final?Yes_ NO-ILCalculated School Impact Fee: <br /> Architectural Approved By/Date: a 7 P /7 School Impact Fee Credit: <br /> Structural Approved By/Date: `s!' tele- 1 tar Total School Impact Fee Owed: <br /> Comments: i Comments: <br /> Intake OK by: � 2 Jt Intake OK by: k-w Okto route 4., Hold <br /> Make this a"W'(t,rmit? Yes No <br /> 0, ;BLIC WORKS . <br /> FEB . INTAKE: Checked By' I Date: /2/55/2b1 <br /> Plan Check Fee Comments: 151 5s-f / r/ , <br /> , G(�17,trt-� <br /> ta-,1,071 <br /> w'$ = - — ',t lo fftuithl is oumpeth <br /> Building Permit f a asp Corr • 071 ,P/-013 /vylhm. <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> --, -3' <br /> 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> 181 Route for Public Works Review(bldg folder, PW Worksheet) <br /> 0 Public Works Permit-Concurren evie (separate green fol er) <br /> `X 7 CP 3 7 c PW REVIEW: PW Reviewer:�y may' Date: <br /> /7422 :t' 7 LiA ❑ PW Permit Approved- PW <br /> �� <br /> 0 See PW Review Worksheet r E Alba 140 it. ' <br /> g PW Permit Not Required fbu)i&ri)*b7 <br /> FIRE DEPARTMENT <br /> � <br /> Update/New Sprinklers Yes 1 No_ Existing Bldg. <br /> � Update/New Detection Yes/No_ Existing Bldg. <br /> 73°00 <br /> � Update/New Chemical Yes / No_ Existing Bldg.,/ <br /> n L� Update/New Fire •ervv''ce Yes_ No /Existing Bldg......,..----- <br /> (N Approved by: Date: I <br /> Comments: <br />