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FOR OFFICE USE ONLY PERMIT# 6 Lloz-d )D <br /> BUILDING PLANNING <br /> . <br /> Bldygr�fl/Addn/Rem Size `2 Dj -5;4" Zoning Classification �— <br /> 4 <br /> Garage Size 31 5.. : Overlay/Agreement LF.A 6RA <br /> VALUATION /S-0/ 69' Nonresidential Use II <br /> Number of Stories 2-- Residential Use d Uelei< d i'V/'jl1 OA/a— <br /> Occupancy Group 1/ Proposed No. of Dwelling Units: 3 <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction --'17 needed before final? Yes ' No_ <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: J <br /> Fire Sprinkler Required Yes No Phone#: 1-12,4;-- ac ---7 <br /> Reason Approved by: toI. J) Date: q -Z...2.,-1.--7 <br /> Existing Fire Alarm Yes No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes X No <br /> Reason Everett School Dist X Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes No #of Net New Units: <br /> Add]RCW 64.55 docs required prior to final?Yes No_ Calculated School Impact Fee: 2, o <br /> Architectural Approved: cilit' Date3/7//7 School Impact Fee Credit: -- <br /> Structural Approved: Date: Total School Impact Fee Owed: 32:30 <br /> Comments:aw x L ,,IYs C, Comments:i gp ,(0 - 060'i g2 \)a'us•-ots <br /> Intake OK by: / .,i0 <br /> Intake OK by: Date: <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: f Date: &-/1--- <br /> Plan Check Fee Comments: <br /> Building Permit <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 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: ]. Date: -1/7,' <br /> Water Fee ❑.PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Workshee ,/� <br /> Systems Dev. Fee 0 PW Permit Not Required 1 ( 7 ?, ,0)6r <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes No Existing Bldg. <br /> -- <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: (4q fib, Date: '7- z5- 17 <br /> Comments: <br />