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FOR OFFICE USE ONLY PERMIT# .-/ :O'- -0 ZO <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size _t _,(.0-2 sr Zoning Classification c - <br /> Garage Size 3 �.f Overlay/Agreement - <br /> VALUATION ZVt q 3 i Nonresidential Use <br /> Number of Stories 3 Residential Use OV,A\ —�- �.w\ <br /> Occupancy Group I2 JL4 Proposed No. of Dwelling Units: )a i✓� . �__) L,„\\;c 5 <br /> Occupant Load Total No. of Dwelling Units: C',�;^&\ ��' Lw1 <br /> Basement No A4. Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction .,11--Rneeded before final? Yes`+. No_ <br /> Existing Sprinkler System? Yes No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: _� Date: \-V (e)T\'Z0 <br /> Existing Fire Alarm Yes_ No_Unk Historic Approved by: ?J JV 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: 3i/' 10//Z-/J� School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 2 0 is- /2 L / to SL Comments: 5).-1/4 <br /> vn -e c.owc e Vitgo 04 scltiarel 0,, a - <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 green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: `Date: M (23�zb - <br /> Water Fee `� PW Permit Approved- PW �"v,"t$ <br /> Sewer Fee 074 See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT I <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 /> �.,\(1/ <br />