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FOR OFFICE USE ONLY PERMIT# l4 2 -cal <br /> BUILDING. _ PLANNING <br /> Bldg/T dd /Rem Size 4-00 ci Zoning Classification - 1- <br /> Garage Size At//Q Overlay/Agreement <br /> VALUATION 54,210 Nonresidential Use <br /> Number of Stories 2. Residential Use <br /> Occupancy Group 12, Proposed No.of Dwelling Units: <br /> /- ---- <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes A No_ <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: 4Q11rt� ' c \ k <br /> Fire Sprinkler Required Yes_ No_ Phone#: l-V2`5, '[ VA <br /> Reason Approved by: CS2 Date: 2 122 120\21 <br /> Existing Fire Alarm Yes No_Unk_ Historic Approved by: 0 it 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 docs required prior to final?Yes No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: ////ficj School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: �J/a— /lam 0 FIs Comments: 'C,o.0 4000 isn be reiMINTA. ct"e,A lQ <br /> 0,11.0, rwks\ tle..s\ &b ackk� \,04-)A` sc_ct fi no, <br /> 1 <br /> Intake OK by:--C — Intake OK by�� Ok to route 1( Hold _ <br /> Make this a"W" Permit? Yes_ 6.73( <br /> PUBLIC WORKS. <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <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 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: 9k-� Date: /2"/2 1 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee OPW 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: j <br /> v <br />