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FOR OFFICE USE ONLY PERMIT# V " )flOYO?1 <br /> BUILDING PLANNING <br /> Bldg/TyAddrip Size 220/167 5/ Zoning Classification rK—Z <br /> Garage Size A ® Overlay/Agreement <br /> VALUATION 3t/ ZOO Nonresidential Use —Number of Stories / Residential Use . -'62- <br /> Occupancy Group le Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: 1 <br /> Basement No_ Yes_2( Fin / Unfin Landscape or Planning I =pection <br /> Type of Construction , needed before final? Yes No <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspecto <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved b Yi• )(j, Date: S--- 2/—l- <br /> Existing Fire Alarm Yes_ No_Unk_ Historic ,'•proved by: Date: <br /> Fire Alarm Required Yes_ No_ Sch..l Mitigation Reqd? Yes_ No ?C <br /> Reason E erett School Dist Mukilteo School Dist <br /> ROW 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: Date:,5//S/7 School Impact Fee Credit: <br /> Structural Approved: Date: Total School Impact Fee Owed: <br /> Comments: z.O/5 /,,ec Az-,......z.., Comments: czequnree), fere `A°J toC,a-kee Wilt"— .9rac <br /> Intake OK by: h <br /> Intake OK by: Date: <br /> ...., , \ <br /> P BLIC WORKS ' <br /> FEES INTAKE: Checked By: �- Date: , 6201 <br /> Plan Check Fee Comments: Q.?OSf /'tor t7@W, rU—O D4 <br /> , R :U/tr <br /> Building Permit LIYVV-41 (A) ?�- W ��o <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 XrRoute for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-ConcurjeQnt Review(separate reen folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: /- Date: 0 I <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet m jA 4 Q �,iOlt,,, <br /> a naffs a ,r.."t <br /> Systems Dev. Fee PW Permit Not Required — 1.raPOrcvct.�. of bldg permt*. <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_ Existing Bldg._ <br /> Update/New Fire Service Yes No_ Existing Bldg. <br /> Approved by: Date: <br /> Comments: \. <br />