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FOR OFFICE USE ONLY PERMIT# 0./Cu (S6(0-00(, <br /> BUILDING : PLANNING <br /> Bldg/Tl/Addn/Rem Size ..E...45-7 tG [3 4,3 S:V. Zoning Classification R-3 <br /> Garage Size Overlay/Agreement c--RA <br /> VALUATION 50 00 0 Nonresidential Use <br /> Number of Stories 2. Residential Use d - , --- <br /> Occupancy Group (2. Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Nog 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 Date: -/17- <br /> Existing Fire Alarm Yes No Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes No <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: At" 5/1 //$ School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: .2_0/ /12,_ 0 c9 S c_. Comments: A/C13/5,,0/6, <br /> Intake OK by:___Ck_ Intake OK by: Y--"r1 Ok to route Hold <br /> Make this a"W" Permit? Yes__1( No_ <br /> PUBLIC WORKS <br /> FEEs INTAKE: Checked By: ate: <br /> Plan Check Fee Comments: �� (ail/IA-warj�� �. <br /> ` /QApbL eqJL Building Permit E� <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check aPublic Works/Sys Dev/Traffic Mit./RPBA- NOT REQUIRED <br /> Plumbing Fee I Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurren evie,w(separate green old:r) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer. Date: .1 61+ <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee joiliPW 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 /> • <br /> Comments: . <br />