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FOR OFFICE USE ONLY PERMIT# j ? -/J()1 l <br /> BUILDING PLANNING <br /> cJy I/Addn/Rem Size 25 b 1 .S/ Zoning Classification 1%\�1 <br /> Garage Size &jo 6,I Overlay/Agreement <br /> VALUATION 3 Z or 4. Nonresidential Use <br /> Number of Stories 2 Residential Use A ei-pcLL' ',.pit_ <br /> Occupancy Group es/Ll Proposed No. of Dwelling Units: t <br /> Occupant Load Total No. of Dwelling Units: l <br /> Basement No, Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction js needed before final? Yes '/ No_ <br /> Existing Sprinkler System? Yes No_Unk_ Planning Inspector: 5,e,v\ (l <br /> Fire Sprinkler Required Yes No_ Phone#: 4 ,5 -1,51-- 7210 <br /> Reason Approved by: VA—ex./ 6 Date: 10,',71144 <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: t <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No Calculated School Impact Fee: VISO <br /> Architectural Approved By/Date: 7/5/ School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: (Dig() <br /> Comments: 2._(:)/c- //(L Y' WS- C.. Comments: <br /> Intake OK by: Intake OK by: VA" Ok to route _ Hold X <br /> Make this a"W" Permit? Yes (lo <br /> (12.9 <br /> PUBLIC WORKS I <br /> LZ <br /> FEES INTAKE: Checked By: Date: 41--zc-( <br /> Plan Check Fee Comments 44tlYM C8 6ihtd RCyt ogd lv14- <br /> Building Permit � -4 Y1eC.A vG ckwM' 2010 Gig. <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 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 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 4 Existing Bldg._ <br /> Approved by: )(,,� ,,- Date: r' /. /i i <br /> Comments: <br /> !- <br />