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FOR OFFICE USE ONLY PERMIT# G / —o Z - Oii <br /> BUILDING PLANNING <br /> l, 2 <br /> Bldg/Tl/Addn/Rem Size (U 07 S'fE Zoning Classification N, " <br /> Garage Size 3 4, s;f Overlay/Agreement <br /> VALUATION 2.-2-3,/-37 Nonresidential Use <br /> Number of Stories 3 Residential Use ,,,,,A ��\ ,- ,A,,\Y <br /> Occupancy Group 211-1 Proposed No. of Dwelling Units:(` . 13 ., U.I\A—S <br /> Occupant Load Total No. of Dwelling Units: \,''r c.: \ `f' w .X--� <br /> Basement No A4 Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction •Jil5 needed before final? Yes Nt N`o_ <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: Al‘C'CC E `\c,, A <br /> Fire Sprinkler Required Yes No_ Phone#: 1—t'Z '-� 2 C <br /> Reason Approved by: c-) Date: �� C�� ZC'l <br /> � <br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved by: ( . Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes No <br /> Reason Everett School Dist y Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes No #of Net New Units: .I <br /> Add'I RCW 64.55 docs required prior to final?Yes No Calculated School Impact Fee: 1 . , i3C.0C) k <br /> Architectural Approved By/Date: /b/j i//-7- School Impact Fee Credit: I\) \,'\ \ <br /> Structural Approved By/Date: Total School Impact Fee Owed: C\ , (I C 1C O© <br /> Comments: 7 )j5 a_L Pt)S-64:_. Comments: S\ IL ``(\ 0v\ C�,4" , �Nk(7� `QX- <br /> QWl -01A— 0` 7( <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 ❑ Public Works Permit-Concurren eview(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:�p Date: /0/7-3/Z014- <br /> Water Fee N PW Permit Approved-PW 'log-O /8 <br /> Sewer Fee ON 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 />