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FOR OFFICE USE ONLY PERMIT# c I SO -CO q <br /> • BUILDING ---\\ , , PLA", <br /> . NNING <br /> Bldg/TI/f�j`i ,Size 60 SZ. ,53 Z S'� Zoning Classification _,. Z., <br /> Garage Size r,DG16-1 16 Overlay/Agreement <br /> VALUATION 8e.2 29 Nonresidential Use ------- <br /> Number of Stories 1 Residential Use s . <br /> Occupancy Group /f.,& Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: 'kWh <br /> Basement No Yes_ Fin / Unfin Landscape or Planning Inspection �/ <br /> Type of Construction needed before final? Yes No 1� <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: IJ K 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: <br /> Architectural Approved By/Date: - 212.47/ , School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Zo7s iie(' .c Comments: <br /> n1CIk5-O20 <br /> Intake OK by: Cifh Intake OK by: Ok to route Hold _ <br /> Make this a"W"Permit? Yes No <br /> PUBLIC WORKS <br /> FEBB INTAKE: Checked By:j4- Date: x/'1/201$ <br /> Plan Check Fee Comments: c oq9p e /04)._�, , /7 <br /> Building Permit il ll, . Gtt� <br /> Surcharge High Hazard Sites(r'$-ntall edical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 12Z Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurren Review(separate gre-n f•Ider) <br /> • <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:, Date: <br /> Water Fee 5irPW Permit Approved-PW 1$03-'005 <br /> Sewer Fee &See PW Review Worksheet <br /> Systems Dev. Fee 0 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_ Existing Bldg._ <br /> Update/New Fire Service Yes_ No_ Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br /> 2(..- 2 <br />