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FOR OFFICE USE ONLY PERMIT# ( \ $63 - (NIA <br /> BUILDING PLANNING <br /> Id I/Addn/Rem Size Z2_c. Si r Zoning Classification <br /> Garage Size 5 10 a F Overlay/Agreement <br /> VALUATION 2-8 41 /64 Nonresidential Use <br /> Number of Stories 2 Residential Use J <br /> Occupancy Group 12./� Proposed No. of Dwelling Units: \ <br /> Occupant Load Total No. of Dwelling Units: Q\AQ <br /> Basement No )(Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction 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: 3 1) Date: '` „Qt 1 WC <br /> Existing Fire Alarm Yes No_Unk_ Historic Approved by: ‘N- Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes 11\ 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: OA Q. C <br /> Add'I RCW 64.55 docs required prior to final?Yes No_ Calculated School Impact Feer;CASIO. <br /> Architectural Approved By/Date: cjU' /z Via School Impact Fee Credit: — <br /> Structural Approved By/Date: Total School Impact Fee Owed: W,0 5©-`" <br /> Comments: Z.0/S /QC. le Ws":"Er.. Comments:LA otkk cx� \AS %/\_<,:\ <br /> Qi-CeeakSScJ)cy- 'cel c C1-1 -0\ <br /> I rt , *Ckkk - 1, sts.\\ A© e fGee s' <br /> Intake OK by:( ) aki' a5-1.. <br /> 1 Intake OK by: Ok to route Hold <br /> Make this a"W" Permit? Yes_ No'( <br /> PBLIC ORK <br /> FEES INTAKE: Checked By: Datt <br /> e: <br /> Plan Check Fee Comments: p612/)/A1 A corrin& iii i —/!E'c / <br /> Permit adb �R al ,n*Jcr , <br /> Building r�.�c 6/h �-F�r <br /> AVE � c/ . r®GJ Wor7�6,�' <br /> Surcharge gh Hazard Sit (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 '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: ,AC-S" Date: .71/6/Zo i2 <br /> Water Fee 'PW Permit Approved- PW INT-OZZ <br /> Sewer Fee BSee 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 />