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75 8 –7Yd &r— <br /> _GA-1... a_43) FOR OFFICE USE ONLY PERMIT# 13 r gb3-0L(5 <br /> BUILDING A' <br /> 't- PLANNING <br /> Bld I/Addn/Rem Size cal-a �iZoning Classification A,-L <br /> Garage Size514 Overlay/Agreement <br /> ( >2154'1.- - <br /> �dG <br /> VALUATION � 50t Nonresidential Use <br /> Number of Stories 1. 614- V• Residential Use <br /> Occupancy Group re> Proposed No.of Dwelling Units: <br /> Occupant Load .1- Total No.of Dwelling Units: <br /> Basement No t' Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V15, needed before final? Yes_ N <br /> Existing Sprinkler System? Yes_ No 5 Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No X Phone#: & <br /> Reason Approved • : ,,- %- e: (L( <br /> iti <br /> Existing Fire Alarm Yes_ No it Unk Historic 'pprove. by: / Date: <br /> Fire Alarm Required Yes_ No if School Mitigatio Reqd. Yes_ No_ <br /> Reason 4 3cxav 4tst. Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No Y #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No K Calculated School Impact Fee: <br /> Architectural Approved By/Date: 5/1°//4 School Impact Fee Credit: <br /> Structural Approved By/Date: ` Total School Impact Fee Owed: <br /> Comments: zdoe_o..+iaK. �,,{- -se., is4d.1 -}o Comments: <br /> bt. -t-r'*4-td as 110-1A, e.ei... .+ue.44ial/ . <br /> Intake OK by: Intake OK by: Ok to route 0` Hold _ <br /> Make this a"W" Permit? Yes No <br /> P BLIC,WORKS <br /> 't$EEs INTAKE: Checked By Z Date: 3 ZSif <br /> Plan Check Fee Comments: 6J - O0* <br /> atil <br /> Building Permit I a)p }G ,74? 97/71 ' <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee EfRoute for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0/Public Works Permit-Concurrent Review(separate gr en folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: k Date: <br /> Water Fee ErPW Permit Approved-PW I$03 06' <br /> Sewer Fee IffSee PW Review Worksheet—(/J Pa) Gaes,e4V t& <br /> Systems Dev. Fee ❑ PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee }SIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes_ No /Existing Bldg. / <br /> Update/New Detection Yes_ No ,Existing Bldg. f <br /> Update/New Chemical Yes_ No Existing Bldg. / <br /> Update/New Fire Service Yes_ No Existing Bldg. <br /> Approved by: ( Date: G i <br /> Comments: <br />