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FOR OFFICE USE ONLY PERMIT# (. 91 0-os3 <br /> BUILDING <br /> PLANNING <br /> Bldg/TI/Addn/Rem Size 7% Zoning Classification C---1 <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use 6& -' - da.Zi <br /> Number of Stories Residential Use <br /> Occupancy Group L� Proposed No. of Dwelling Units: <br /> Occupant Load L) Total No. of Dwelling Units: <br /> Basement Nom Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction 11-. needed before final? Yes_ No x <br /> Existing Sprinkler System? Yes No4 Unk_ Planning Inspector: <br /> -24 <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason i Approved by: )L. d Date: 11---<6� iiExisting Fire Alarm Yes_ No-b_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes No' School Mitigation Reqd? Yes No <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes No5' #of Net New Units: <br /> Add]RCW 64.55 docs required prior to final?Yes N6-6 Calculated School Impact Fee: <br /> Architectural Approved By/Date: / 1...4W f7L•01//7 School Impact Fee Credit: <br /> Structural Approved By/Date: v \ -7 Jt(.- 'fit Total School Impact Fee Owed: <br /> Comments: 0 Comments: <br /> Intake OK by: Intake OK by: t-k'r Ok to route Hold X <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: XL3 Date: /U" 2.7-1 7 <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 Er Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: k_.? Date: //'2-/ <br /> Water Fee 0 PW Permit Approved- PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee El 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 / xisting Bldg. <br /> Update/New Fire,\Service Yes_ No Existing Bldg._ <br /> Approved by: /`', L,1,_ Date:/A,10 2,2,- Z,, .(7 <br /> Comments: <br />