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FOR OFFICE USE ONLY PERMIT# I' l 70 7-b'f <br /> BUILDING PLANNING <br /> Bldg/Tl/Addn/Rem Size q 35? 4# Zoning Classification C .- I <br /> Garage Size Overlay/Agreement <br /> VALUATION ijOi GO Nonresidential Use �.NiV\_ CZ^I\ -- <br /> Number of Stories 1 Residential Use <br /> Occupancy Group irli Proposed No. of Dwelling Units: <br /> Occupant Load .i---0 Total No. of Dwelling Units: <br /> Basement No > Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction ✓`-B. needed before final? Yes— No '\ <br /> Existing Sprinkler System? Yes' ' No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason 4 Approved by:( Date: 1�`l l Lck.'--t- <br /> Existing <br /> � — <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: <br /> Add'I RCW 64.55 does required prior to final?Yes No4 Calculated School Impact Fee: <br /> Architectural Approved By/Date: /0.7 A 7 School Impact Fee Credit: <br /> Structural Approved By/Date: 4 I Z0/19 Total School Impact Fee Owed: <br /> Comments: ' Comments: C <br /> \W1 5'\� flw��C\S o V-Q+' `(53 e cv,� <br /> ..4-,,,N4.46. & 4 j\ <br /> Intake OK by: Intake OK by: C-P Ok to route Hold <br /> Make this a"W" Permit? Yes No <br /> P LIC WORKS <br /> FEES INTAKE: Checked By: Date: 20 <br /> Plan Check Fee Comments: K,j am, P/&1ifj I'1y „,,,,,b6,-,.. <br /> Building Permit _S Work1604 ! 1� PW it J�w P€`u <br /> Surcharge High Hbz ra d Site (Dental/Medical,Animals, Mort ary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee Igt Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent eview(separate gre-n fo.er) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: 1 /... a <br /> Water Fee - rj PW Permit Approved PW36 -S <br /> Sewer Fee El See PW Review Worksheet//g— /1/4/0C 6Q L 1,, <br /> Systems Dev. Fee 0 PW Permit Not Required f?Q 3 ��n <br /> CY <br /> Traffic Mitigation Fee -- — )C 'g ��, [016 <br /> - k 'CtiE �jUJi "`"_'� <br /> Public Works Fee FIRE DEPARTMENT `rtc- - � / <br /> l`��f/rW <br /> School Mitigation Fee Update/New Sprinklers Yes / No Existing Bldg. Z <br /> Update/New Detection Yes/ No Existing Bldg. " <br /> Update/New Chemical Yes No 7 Existing Bldg. <br /> Update/New Fire Service Yes No 7-Existing Bldg. <br /> Approved by: Date: .Z3 \-1 <br /> Comments: -+•,, <br />