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FOR OFFICE USE ONLY PERMIT# C /T0 il-0/-3 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size J905 I' Zoning Classification C , - <br /> Garage Size S4& Sjr Overlay/Agreement <br /> VALUATION 2 23 t 4-37 Nonresidential Use <br /> Number of Stories 3 Residential Use vAL'A\ - %-1/4'%,\Y <br /> Occupancy Group V-AA Proposed No. of Dwelling Units: (\C'k ` , u,,,, -S <br /> Occupant Load Total No. of Dwelling Units: CLA `i Ukv\ c---S <br /> Basement No ( Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction .Z needed before final? Yes 1, No_ <br /> Existing Sprinkler System? Yes No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: <__�e Date: ` (ON' 'Ze\ V <br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved by: f'J l N Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes X 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: /a//•7-1 j- School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: z�/� /�G <br /> GC? Comments: <br /> `‘ �\�\ \ _O`\ � �c � <br /> �`s \AS c oA �vA\e.c5\ W4-4, `3c�a, kwe0-els <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 ❑ 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 eview(separate green fold r) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: 0 Z3 ie <br /> Water Fee 0 PW Permit Approved-PW 117D 4-0‘11? <br /> Sewer Fee r 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 />