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FOR OFFICE USE ONLY PERMIT# c\(42( < OLE' <br /> BUILDINGPLANNING <br /> Bldg/TI/Addn/Rem Size 71 7/` 0 Zoning Classification #-I <br /> Garage Size -Overlay/Agreement co1 ���Q j v <br /> VALUATION 7 7G/ A- G\\J\'C I Q `CZ <br /> C..l� <br /> Number of Stories Residential Use i`J\�n.\ - `1\a,1\`I <br /> Occupancy Group Z.~ P Proposed No.of Dwelling Units: `'` <br /> nn <br /> Occupant Load G`) Total No.of Dwelling Units: \Sc <br /> Basement No _____ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V.' fit needed before final? Yes /\ No_ <br /> Existing Sprinkler System? Yes No_Unk Planning Inspector: Ce �'c-P\VM- 6. <br /> Fire Sprinkler Required Yes' No_ Phone#: L12J. • .6. 6'-(1_I---‘ <br /> Reason / g Z Approved by: y ) Date: W V-A-1.2,0\ca-- <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 X, Mukilteo School Dist <br /> Enclosure Law Applies Yes x #of Net New Units: Ai I \\ <br /> Deferred Submittal Reqd Yes_ No Calculated School Impact Fee: 0.\\U��FS 0,41. Stualm er <br /> Approved by:4021r Date: -",- School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: �—" p,\\ Uy\ -- 0-\ '(J AWl <br /> Comments: '1�(AAs \, 6,1,.(°!, (' .6,V4\Q,S '.W -^`n. <br /> (nn 2:3 / e f take OK 1�23//e, <br /> Intak OK by . " ` ` (p <br /> PUBLIC WORKS <br /> _ <br /> FEE'S INTAKE: Checked By:_ Date: //- '3-ZPl/‘ <br /> Comments: 41 (34-vi • SWY1?& In Tro <br /> Plan Check Fe( tt <br /> — hi SadrthetS dom�r re,J, Aim'2 eop <br /> Building Permit _ - Qy W ,fit gyp` <br /> Surcharge High Hazard Sites(Dental,Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional PI0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fg, 0 Route for Public Works Review(bldg folder, PW Worksheet) a <br /> Mechanical Fee g Public Works Permit-Concurr nt Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: $//2//4 <br /> Water Fee PW Permit Approved-PW I I —Q I <br /> Sewer Fee ligi See PW Review Worksheet -in 41113 iJ4Er <br /> Systems Dev.Fee 0 PW Permit Not Required OK 1n issue: Pulakote ` , <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 S rvice Yes / No_ Existing Bldg. <br /> — Approved by: Date: 1-1,5--6 <br /> Comments: <br /> N)t-k CA-4CA-4 0 'F6 . %-2-0.vvre. s gape R <br />