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FOR OFFICE USE ONLY PERMIT# e,` 12 -d <br /> BUILDING PLANNING <br /> Idgrfl/Addn/Rem Size Zoo ,S. Zoning Classification 'R-.2 <br /> Garage Size CJ i Z S., Overlay/Agreement <br /> VALUATION 3 S 460 Nonresidential Use iniWi 6m II) <br /> Number of Stories 3 Residential Use <br /> Occupancy Group Irl./(4 Proposed No. of Dwelling Units: 2. <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No, Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction F needed before final? Yes No_ <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: gC, � <br /> Fire Sprinkler Required Yes_ No Phone#: 1 j5-ZS1, 1S" <br /> 7 i <br /> Reason Approved by: Date: 3-1-I t <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: Z. <br /> Add'I RCW 64.55 docs required prior to final?Yes No Calculated School Impact Fee: (pyoo <br /> Architectural Approved By/Date: St/f ie) School Impact Fee Credit: ?57,270 <br /> Structural Approved By/Date: 210. 115 Total School Impact Fee Owed: 3730 <br /> Comments: Zo/5" ..Vis,r <br /> G 1/645 6.. Comments: n Por`, e, <br /> ,n-heu-oF prpvi(1;1 ✓ec.reahbnaki <br /> fJ P.e.31I 11-0►? J ! r.c:I: <br /> Intake OK by: ( Intake OK by: ._-H- Okto route Hold <br /> Make this a"W" Permit? Yes No J( <br /> P ;BLI WORKS <br /> FEES INTAKE: Checked By:� V Date: <br /> Plan Check Fee Comments: �� ,.. �- _ 6 0(,J ( ''- '1 <br /> Building Permit (rerred <br /> Nig PEW/ ;SylCD�✓f /4 mac. <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-Concurren Review(separate gre n folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: . Date: <br /> Water Fee N PW Permit Approved- PW 1-70/-032.— <br /> Sewer <br /> -7o 1-03ZSewer 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 ervice Yes_ No 7 Existing Bldg. <br /> Approved by: Date: -y-(,--/x6 <br /> Comments: <br />