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FOR OFFICE USE ONLY PERMIT# C 1v4-d63 <br /> BUILDING PLANNING, <br /> Bldg/TI+41:13Y4'em Size 376 5 .' Zoning Classification g— I <br /> Gomm Size ,12. /f Z £' Overlay/Agreement <br /> VALUATION 45/ <br /> 2P3 Nonresidential Use <br /> Number of Stories I Residential Use 'SCR-- <br /> Occupancy <br /> l- sOccupancy Group 12.. Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: I <br /> Basement No X Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes No X <br /> Existing Sprinkler System? Yes_ No Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> f//) 1 <br /> IL-61-4, <br /> `� <br /> Reason Approved by: `■ S 1e,, Date: '''I 1 7 - <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No y <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: c4f /O/c1/1-?- School Impact Fee Credit: <br /> Structural Approved By/Date: /Uy/_ Total School Impact Fee Owed: <br /> Comments: 20 /.. — /2C GU SSG Comments: <br /> Intake OK by: Intake OK by: IL-' Ok to route _ Hold <br /> Make this a"W" Permit? Yes_ No (x <br /> , FUBI jC WORKS , <br /> FEES ": INTAKE: Checked By: Date: e/..s/ <br /> Plan Check Fee Comments: Q ,, <br /> Building Permit r.�:�.tl rig, a e <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 RI 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: /7"> Date: `7/ <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 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 /> 747, <br />