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FOR OFFICE USE ONLY PERMIT## (40(o -CGC, <br /> UILDING ( PLANNING <br /> iBIdg/TI Addn �f) 1l %O SF 4 ( b Zoning; Classification F — t <br /> Garage Size 'Overlay/Agreement <br /> i <br /> VALUATION Nonresidential Use 1f t:1 C..t t iii l C. <br /> Number of Stories 1 Residential Use <br /> Occupancy Group 6 Proposed No. of Dwelling Units: <br /> Occupant Load 4'5 Total No. of Dwelling Units: .,--® <br /> Basemert No ? Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Constructionl NoIIIMIIIMII. . obefore final? Yes_ <br /> 1No_�� <br /> Existing Sprinkler System? Yes " No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes X No_ Phone#: <br /> Reason 12,ir1j151OW Approved Date: crZC/ <br /> —.7-- <br /> Existing Fire Alarm Yes No Unk_ Historic Appr ved by: Date: <br /> Fire Alarm Required Yes )( No School Mitigation Reqd? Yes No <br /> Reason IMEIMINIIMIM Everett School Dist Mukilteo Scho. !' <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 Schoo - .act Fee: <br /> Architectural Approved By/Date: 'C 1, (o gip ii School Ir...ct Fee Credit: <br /> Structural Approved By/Date: AI .441t2® Tota School Impact Fee Owed: <br /> Comments: Comments:5 jA J w,, `'"C`r <br /> ✓U <br /> Intake OK by: T. Intake OK bA4..)( Ok to route ,i/ Hold NO <br /> Make this a"W' Permit? Yes No <br /> PI! LIC WORKS <br /> FEES INTAKE: Checked By: Date: ( —') <br /> ^� <br /> Plan Check Fee Comments:A-sib 0 � ,(p vt. Ij <br /> j'jd <br /> enifil� rEfu.rr E). ligl i- <br /> Building Permit PK) Sc, , - <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 ig Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate gre-n folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:,,A-J" Date: • <br /> 1 <br /> Water Fee -- ig.PW Permit Approved-PW O' —I i Li 'rA.i : ' <br /> Sewer Fee -- 0 See PW Review Worksheet N1 —/10 Awe(e( <br /> Systems Dev. Fee 0 PW Permit Not Required ��JJ <br /> Traffic Mitigation Fee <br /> Public Works Fee ,4; 6 ,``� 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: "4444114). <br /> 44u�1 ` <br />