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FOR OFFICE USE ONLY PERMIT# \911L--c <br /> BUILDING PLANNING <br /> (✓''fl/Addn/Rem Size 400 _c Zoning Classification .'9 '-- <br /> Garage Size Overlay/Agreement <br /> VALUATION Jq( 2 eco Nonresidential Use C--- <br /> Number <br /> t <br /> Number of Stories I Residential Use c .\-- J OA <br /> Occupancy Group 12. Proposed No.of Dwelling Units: ,'f\e. <br /> Occupant Load Total No. of Dwelling Units: -\J‘)0 <br /> Basement No)(Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction E needed before final? Yes_ No 1„,. <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approved by:C-= Date: IA 1 25/ -0,7C <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: i 1 I Ar Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No K <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: 3'/ /'J//a School Impact Fee Credit: / <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 70,s- /e G ip (,�,5-L Comments: " t\X q C,\Q -\oe_alcscw U.dm <br /> J--(-1 <br /> Intake OK by: Intake OK by: r Ok to route Hold _ <br /> Make this a"W" Permit? Yes_ o ) <br /> P BLI WORKS <br /> FEES INTAKE: Checked By: Date: (J 24 20t$ <br /> Plan Check Fee Comments: PQ /M , 00 ak/hq Pate/ Ort UQ) zo') <br /> Building Permit y$OScMZ0j ( y12�4ra9E. oSc4cl°druh /m9,E <br /> Surcharge High Hazard Sites(Dental/Medical,Animals, Mortuary,etc-Review for RPB.4) <br /> 9 <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 21 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurren Review(separate green fo der) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: 3'" Date: <br /> Water Fee Er-PW Permit Approved-PW /804-015g <br /> Sewer Fee EtSee 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 /> y <br /> •\ j <br />