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FOR OFFICE USE ONLY PERMIT# ICi(7 if-00/ <br /> BUILDING �` ... PLANNING . <br /> (igdg' I/Addn/Rem Size 1 1 SO Zoning Classification <br /> Garage Size 4-&61 S Overlay/Agreement <br /> VALUATION I C(° j( 0 Nonresidential Use <br /> Number of Stories 2- Residential Use <br /> Occupancy Group 12-,Al 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 1/No <br /> Existing Sprinkler System? Yes_ No Unk_ Planning Inspe <br /> Fire Sprinkler Required Yes_ No_ Phone#: 7C — <br /> Reason Approved by...-1C Date: ( l b <br /> Existing Fire Alarm Yes No_Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes <br /> Reason Everett School Dist —IGlukilteo 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: yi 9 so , ®o <br /> Architectural Approved By/Date: <lit4Z/2/!- School Impact Fee Credit: — <br /> Structural Approved By/Date: Total School Impact Fee Owed: 1,0(C71, 0 <br /> Comments: 2_1/40/6— <br /> _1/40/ //2..L G r G Comments: <br /> Intake OK by: -s Intake OK by:', Ok to route Hold <br /> Make <br /> — <br /> Make this a"W"Permit? Yes No <br /> PUBLIC.WORKS, <br /> FEES INTAKE: Checked By: irt5 Date:/11 27""1 / <br /> Plan Check Fee Comments: AJ LC heed deg i v Seu>e — <br /> Building Permit app/ C 'c ,t (( pi-01/(dgie rnQ <br /> Surcharge Hig -Hsgc i etis(Be1aled.calo als,/orsuapryr,etic-Retview for/RPM)PA) <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 la Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer-4/ TDate: t--2.2—Zed <br /> Water Fee 531PW Permit Approved- PW <br /> Sewer Fee See 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 Servi.c7 Yes_ No_ Existing Id•. <br /> Approved by: 0 -V Date: <br /> Comments: <br />