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FOR OFFICE USE ONLY PERMIT#Cvc ? -COR <br /> BUILDING PLANNING: <br /> Bldg/TI/4 / er Size 3(9 3 SI/tOt K Zoning Classification -4-Z".-��" <br /> Garage Size N/A- Overlay/Agreement - } )(,x. 6-rA <br /> VALUATION -Ii (i f&e Nonresidential Use <br /> •Number of Stories 2.. Residential Use ae1 •51-12- <br /> Occupancy Group R Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No_ Yes)1 Fin / nfin Landscape or Planning Inspection <br /> Type of Construction ".R needed before final? Yes_ No X <br /> Existing Sprinkler System? Yes No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved 135q j2, 1:4;ic Date: 3"III-/g <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved Date: cji i call g <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes No x <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: T/9/za School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 0.0/.5- iiZC 4,9,5--g.C..- Comments: <br /> Intake OK by: "clitIntake OK by: Y-1"\-- Ok to route _ Hold A <br /> Make this a"W" Permit? Yes_ 6 <br /> PUBLIC WORKS <br /> SEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <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 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 471.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 Fir rvice Y s_ No Existing Bldg._ <br /> Approved by: Date: ,--f-1 ---1 <br /> Comments: <br /> r.....-- <br />