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i.S20 k 10111 b o 41 <br /> FOR OFFICE USE ONLY PERMIT# I L <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size No t'5-(,O Zoning Classification <br /> Garage Size — Overlay/Agreement <br /> VALUATION t.C,: Co© Nonresidential Use <br /> Number of Stories Z Residential Use Ink)IV%-farn t. <br /> Occupancy Group g- a_ Proposed No. of Dwelling Units: <br /> Occupant Load S Total No.of Dwelling Units: 1.4 <br /> Basement No_ Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction `\/ I?? needed before final? Yes No <br /> Existing Sprinkler System? Yes— No A Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes 1C No_ Phone#: 14 26-2ciYLIc all <br /> Reason _." 61F% t'e'a Approved by: y: � Date: \p,.4',I1 <br /> Existing Fire Alarm Yes_ No X Unk Historic Approved by: Date::/ <br /> Fire Alarm Required Yes_ No K School Mitigation Reqd? Yes_ No X <br /> Reason c Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes X No_ #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes k No Calculated School Impact Fee: <br /> Architectural Approve(: LEW Date: cI/0 7.- School Impact Fee Credit: <br /> Structural Approved: - 7C Date:110 aTotal School Impact Fee Owed: <br /> Comments: , J Comments: ob -,tip. A off O 1131 \fti <br /> Qro,�o ,) ranb4CaP iAVedhr.- reqs i <br /> Intakeolr <br /> O � <br /> OK by: t <br /> Intake OK by: A Date: (4111�� y <br /> 11 <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: -1547Date: //r /fr– <br /> Plan Check Fee Comments: C`.i✓)( SUbni d€' r-, — Ai 3 WEA ; <br /> Building Permit /friCtie's` UIR /�edtV4 <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 rePublic Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee _FIRE DEPARTMET <br /> School Mitigation Fee Update/New Sprinklers Yes K No_ Existing Bldg. <br /> Update/New Detectiorl Yak--No_ Existing Bldg. <br /> Update/New Chemical Yes No_ Existing Bldg._ <br /> Update/New Fire Servi e Yes K No_ Existing Bldg. <br /> Approved by: '?/-5---- Date: /p /�7 17 <br /> Comments:� rkle1 <br /> in)4vir/< rf a c cs {s <br />