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FOR OFFICE USE ONL M PERMIT# e_c o3 'd(2-- <br /> BUILDINC PLANNING <br /> Bldg/TI/Addn/Rem Size I s 32 Cf Zoning Classification \ <br /> Garage Size 3 YS.CF. Overlay/Agreement <br /> VALUATION O °Da Nonresidential Use <br /> Number of Stories 1 Residential Use Fc& (dU\ <br /> Occupancy Group /u Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: OA JZ <br /> Basement No_ Yes Fin / Unfin ? Landscape or Planning Inspection <br /> Type of Construction g needed before final? Yes_ No Nk <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by( ' Date: '3/ -L3' <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: ,\ (A Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No k <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: WZ0//9 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owe . <br /> Comments: Comments: <br /> Intake OK by: Intake OK by:rOk to route _ Hold _ <br /> Make this a"W"Permit? Yes_ (ttlo A) <br /> F:.:BLIC WORKS <br /> FEES INTAKE: Checked By: / Date: /ZO <br /> Plan Check Fee Comments: l 7/� pr- /IBJ li; A/.//eio <br /> Building Permit SF 70 175q....tiocsysdadlilk_ no: No Ply , <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 181 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-Concurren Review(separate gr en f lder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: 3 28 Iq <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee liff PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee <br /> � : ' ... 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 />