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FOR OFFICE USE ONLY PERMIT# C l qO o 2,(0 <br /> . BUILDING • , P • .. <br /> LAhIhIING :, <br /> BldgfTl d n em Size /S64. S,r Zoning Classification f'Z <br /> Garage Size fd' Overlay/Agreement — <br /> VALUATION 16131 201e- Nonresidential Use <br /> Number of Stories I Residential Use 5 tR--)- 25ip <br /> Occupancy Group IZ— Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No...___ Yes,� / Unfin Landscape or Planning Inspection <br /> Type of Construction ,T7 F needed before final? Yes_ No_ <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: \. <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by: / Date: cy(0$ <br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No— School Mitigation Reqd? Yes X. No_ <br /> Reason Everett School Dist pC 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: 3 Z 30 <br /> Architectural Approved By/Date: ' .5/' / (o School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: ZO/S- /PCit. kUS,EG Comments: `Tl,tip f-r S S Opp <br /> �T�4C(C� - Frarf-� = �.tuP�r <br /> Intake OK by: al- Intake OK by: Ok to route _ Hold _ <br /> Make this a"W'Permit? Yes No k' <br /> P ,, LIG WORKS <br /> . FEES ' INTAKE: Checked By: � Date: 3izeoo <br /> Plan Check Fee Comments: APP1�Cao{ -6, z1 Plan 4-0 1,ral <br /> Building Permit i MPefv`n.S Ae-GA vont Zoo°4 <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee �❑�Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee L=1 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> I <br /> Water Fee , PW Permit Approved-PW Q)01-6161 <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 Service Yes_ No_ Existing Bldg._ <br /> Approved by: It Date: <br /> Comments: no_ <br /> ,.,, 'Vl�'�-iLti <br />