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C <br /> -=12"1 4-0i ODD FOR OFFICE USE ONLY- PERMIT# 0 I 563 '0 if 3 <br /> BUILDING <br /> PLANNING ,>. <br /> ag/TI/Addn/Rem Size eg:t&eV, Zoning Classification 1V\ <br /> Garage Size — Overlay/Agreement <br /> VALUATION / X4 ago Nonresidential Use <br /> L.� <br /> Number of Stories i �6', Residential Use <br /> Occupancy Group - I Proposed No.of Dwelling Units: <br /> Occupant Load ‘SZ. Total No. of Dwelling Units: <br /> Basement No K Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction tit - needed before final? Yes_ N- <br /> Existing Sprinkler System? Yes_ No X Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes X No Phone it: <br /> Reason 7 (QOO \D, 44 Approve Date:_ o/y <br /> X <br /> /11 <br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved y: Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes No_ <br /> Reason 7 170DO 44 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 x Calculated School Impact Fee: <br /> Architectural Approved By/Date: s/./1e5 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: �'' " <br /> Comments: 11 Comments: '� -05c \ I 0 " '` I <br /> vi lai ,tvl 1" 'I`-(CSG %&Q �A k • ' 4\5l 019.5-' �2.t\AQ '4' l <br /> `l rr.c.- e,4 re„; Jw as nem' e..ork,sin, ot% \_\ \ , \. cc 04 \&Scw-c c 'P. <br /> Intake OK byy A. O 7/is/2...eva Intake OK by: 'o Ok to route Hold _ <br /> Make this a"W" Permit? Yes No <br /> ` PVBLIC,WORKS <br /> FEES INTAKE: Checked By: `4- Date: r 3 g <br /> Plan Check Fee Comments: /` .7c AUaAry .She,ef' / i °e <br /> Building Permit PYJ''/ £ f ' 5 r t <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 10 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ErPublic Works Permit-Concurrent�{Reviewo (separate green f !der) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:_. `C, Date: 26 <br /> Water Fee 8PW Permit Approved-PW 1g03-06,1 <br /> Sewer Fee jgrSee PW Review Worksheet-in RA) 6rFivii Rs-ekeik. <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 .7--1\1-o_ Existing Bldg. <br /> Update/New Chemical Yes_ No , Existing Bldg. / <br /> Update/New Fir Service Yes 7-No_ Existing Bldg. / <br /> Approved by: lam`-_ Date: (,,,--5-(3. <br /> Comments: <br />