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FOR OFFICE USE ONLY PERMIT# l o7-of f <br /> BUILDING PLANNING <br /> Bldgfl ize (.y Si Aickoo 3$Zt2.60 Zoning Classification Q -� <br /> Garage Size C42POf<( zoo 6 i Overlay/Agreement <br /> VALUATION 441 osci Nonresidential Use <br /> Number of Stories Residential Use <br /> 016aci,j 5F1 - 1. <br /> Occupancy Group (,( Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: C 'FrZ i 19AVU <br /> Basement No jk Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction ( needed before final? Yes_ No"A <br /> Existing Sprinkler System? Yes No p( Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No {x Phone#: <br /> Reason Approved by: At...4Date: 10-tec-k, <br /> Existing Fire Alarm Yes_ No / Unk_ Historic Approved by: -- Date: <br /> Fire Alarm Required Yes_ No 2( School Mitigation Reqd? Yes_ No '>C <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes No X #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No_X Calculated School Impact Fee: <br /> Architectural Approved By/Date: La/I t/[6 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: SO/5- /4( Comments: <br /> Mw ADV = 48'6 <br /> Intake OK by: Intake OK by: 11- Ok to route _ Hold )( <br /> Make this a"W"Permit? Yes <br /> P 'BLIC WORKS <br /> FEES INTAKE: Checked By:, I Dat : Zo <br /> Plan Check Fee Comments:arpi r * -MSCfit <br /> Building Permit W e T jaAc. �� propose/'nzfitimA <br /> Surcharge High Hazard Si es(Dental/Med nimals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee g Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: ,A2.-g- Date: /045/04/8 <br /> Water Fee PW Permit Approved-PW f$/0-o1/1 <br /> Sewer Fee 0 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 Service Yes_ No_ Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br />