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FOR OFFICE USE ONLY PERMIT# (t 11-03 -02_,L\ <br /> BUILDING PLANNING <br /> Bldg/T Ad' Rem Size 700 SA Zoning Classification R-I <br /> Garage Size Overlay/Agreement <br /> VALUATION -7411/00 Nonresidential Use <br /> Number of Stories ( Residential Use -5.,J4 '5 a <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No y Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction it needed before final? Yes— No X <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: 'rte <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> / i <br /> Reason Approved by: — <br /> 5e Date: L /STr/'ZOk <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: --- Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No X( <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: h <br /> Architectural Approved: 4104 j// <br /> Date,,// ' School Impact Fee Credit: <br /> Structural Approved: Date: Total School Impact Fee Owed: <br /> Comments: 20i i - AiS"6.0 Comments: <br /> Intake OK by:__ <br /> Intake OK by: Date: 3/27 17 <br /> UBLIC WORKS <br /> FEES INTAKE: Checked By.(4 D-te: _ ,. 0 ?J <br /> Comments: F wy4Y c i i <br /> Plan Check Fee ,j,�rt�. ' <br /> Building Permit SP Q1�iffi rt <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 Vi Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurr nt Review(separ-te gr-en folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:_ Date: 34� P-- <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review WorksheetA/b- <br /> Systems Dev. Fee l PW Permit Not Required QED NOYES 81p4 pegour <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: 4.) <br />