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FOR OFFICE USE ONLY PERMIT# C_ I +o 7 6' t ci <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size [ So 9 .S,j Zoning Classification , - <br /> Garage Size 346 _C. Overlay/Agreement — <br /> VALUATION Z�-3i 4 37 Nonresidential Use <br /> Number of Stories 3 Residential Use MAN - `1A-.\1 <br /> Occupancy Group la AA Proposed No. of Dwelling Units:6, 'Nis '3 v,N-S <br /> Occupant Load Total No. of Dwelling Units: C),AfQ\\. \U, LANA k S <br /> Basement No 4.( Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of ConstructionJ needed before final? Yes No_ <br /> Existing Sprinkler System? Yes No_Unk Planning Inspector: k©lce ca\�C-i- <br /> Fire Sprinkler Required Yes No_ Phone#: 142,5-_ . 5?-Cifr-01- <br /> Reason Approved by: �szP Date: � (C3S- 1 z13 Car <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: N l k Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes X No <br /> Reason Everett School Dist X 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: 1.7_,M,00 '3 <br /> Architectural Approved By/Date: � 1/ `8l/z//7- School Impact Fee Credit: /-3 LA <br /> Structural Approved By/Date: Total School Impact Fee Owed: GI 1 CQ R,U,on <br /> Comments: 20l - ifiL F, CoS 4 Comments: <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-ConcurrentReview(separate green f der) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:.26.Th Date: 10 ZO'L-1' <br /> Water Fee 21 PW Permit Approved -PW Ho-O 1 <br /> Sewer Fee 1 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 />