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R__, <br /> FOR OFFICE USE ONLY PERMIT# `b j12-00 <br /> BUILDING PLANNING <br /> Bldg/fl/Addn/Rem Size 2:76,0 SF Zoning Classification Q/3 <br /> Garage Size 0 (2 _..5-r Overlay/Agreement <br /> VALUATION 3S 6t47,6o Nonresidential Use <br /> Number of Stories 3 Residential Use yvk,\1*.%; AAJ) <br /> Occupancy Group a//e{ Proposed No. of Dwelling Units: 2. <br /> Occupant Load Total No. of Dwelling Units: 4 <br /> Basement No X Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes 7( No <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: Lfl! Z.S i- 1A <br /> Reason Approved by: 46,../.1 <br /> '- 1 14,,,,-/ Date: 3-1—I b <br /> Existing Fire Alarm Yes No Unk_ Historic Approved by: Date: s <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes `1( No <br /> Reason Everett School Dist 6 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: (pL'(0� <br /> Architectural Approved By/Date: /// , School Impact Fee Credit: <br /> Structural Approved By/Date: <br /> P fol 1$ Total School Impact Fee Owed: (it,/(g0 <br /> Comments: Comments: '' 6.. .I Qw2 <br /> \-1-.0- _ L of 4 AO itLrevAiOA4,) G,u u <br /> Rei 1L u7-a i9 <br /> Intake OK by: Intake OK by: �'� Ok to route Hold <br /> Make this a"W" Permit? Yes No X <br /> UBLIC WORKS <br /> FEES INTAKE: Checked By: Date:14/4/7_ <br /> Comments: Wl^L {� PA) k:s <br /> Plan Check Fee / �/+ <br /> Building Permit (gay 6/2,010 *PEA) <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 121 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent (separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:_.tCJDate: /!!/PO%g <br /> Water Fee la.PW Permit Approved-PW 11-0q-'032, <br /> Sewer Fee RSee 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 l Existing Bldg. <br /> Update/New Detection Yes No 7- Existing Bldg. <br /> Update/New Chemical Yes_ No 7 Existing Bldg. <br /> Update/New Fire Service Yes_ No 7- Existing Bldg. <br /> Approved by: Q� u, 1j�— Date: 3-t3-\$ <br /> Comments: w'J �� <br />