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FOR OFFICE USE ONLY PERMIT#C'kg.0 - '00 <br /> BUILDING PLANNING <br /> I/Addn/Rem Size Ooo ,,sr Zoning Classification k-- \ <br /> Garage Size /�//,,�} Overlay/Agreement <br /> VALUATION 9 NAA <br /> Nonresidential Use -/ (�V <br /> Number of Stories 1 Residential Use .F'C� * ,`( /\ ), <br /> Occupancy Group R Proposed No. of Dwelling Units: --O'`\-t <br /> \\ <br /> Occupant Load Total No. of Dwelling Units: "�J( ., <br /> Basement No X.Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction .ST 0 needed before final? Yes_ No X <br /> Existing Sprinkler System? Yes No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason Approved by: C) Date: 1 V3 l 2-0\i/ <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: tit Pt- 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: &r\e f3 A W\ <br /> Add'I RCW 64.55 docs required prior to final?Yes No Calculated School Impact Fee: *Si LSO, OO <br /> Architectural Approved By/Date: 7/3409, School Impact Fee Credit: — <br /> Structural Approved By/Date: Total School Impact Fee Owed: * P, 2. 0 06 <br /> Comments: 016-/fZc W.. Comments: cce scc1 OwQ130,, <br /> Intake OK by: Intake OK by:C Ok to route kk. Hold <br /> Make this a"W" Permit? Yes No 0( <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: ./ < Date: •J ,i, <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 a tgute for Public Works Reviewr(bldg folder PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) _ <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee ,R PW Permit Approved- PW /8c — t'6 r <br /> Sewer Fee ❑ 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 IC Existing Bldg. <br /> Update/New Detection Yes No )C Existing Bldg. <br /> Update/New Chemical Yes No X Existing Bldg. <br /> Update/New Fire Se ice Yes No X. Existing Bldg. <br /> Approved by: JR* 3 tl- Date: Qj/3.//�j <br /> Comments: <br /> g7 <br />