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FOR OFFICE USE ONLY PERMIT# '% 71 — 0 Z1 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size /3 0 5 S� Zoning Classification V- <br /> Garage Size E4'0 SI Overlay/Agreement <br /> VALUATION 223 311 7 Nonresidential Use <br /> Number of Stories 3 Residential Use `(hln\"h- V`n.k\ <br /> Occupancy / Proposed No. of Dwelling Units: '(�,(� rUVA\\-_) <br /> p Y Grou p �!� <br /> Occupant Load Total No. of Dwelling Units: c QjeU \ t v S <br /> Basement No...S. Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction /f needed before final? Yes X No <br /> Existing Sprinkler System? Yes No Unk_ Planning Inspector: C\'O C2 (QQ Q f a <br /> Fire Sprinkler Required Yes_ No Phone#: 1--(2S. Z7 • . 3-1- <br /> Reason Approved by: ( Date: "" (Ca #2-(1.'.1- <br /> Existing <br /> a'.1Existing Fire Alarm Yes_ No Unk_ Historic Approved by: NIk.k Date: -- - <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes I No <br /> Reason Everett School Dist \I Mukilteo School Dist <br /> � <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No #of Net New Units: Q3 <br /> Add'I RCW 64.55 docs required prior to final?Yes No Calculated School Impact Fee: Jno,c ._ <br /> Architectural Approved By/Date: rJ1/ /0/0711/2 School Impact Fee Credit: M P<� <br /> Structural Approved By/Date: Total School Impact Fee Owed: lye qua,t <br /> Comments: Z O/S- /72_6 aiSr G Comments: <br /> cN,rN- ; 0.A A\k.kti N14-- -c3-i5?' <br /> Intake OK by: Intake OK by: Ok to route Hold _ <br /> Make this a"W" Permit? Yes No <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-Concurren Review(separate gree fol r) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: C�,^,,,IDate: /0 23 2bt'_' <br /> Water Fee OPW Permit Approved-PW —0 Y '78 <br /> Sewer Fee 'ri See 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 />