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FOR OFFICE USE ONLY PERMIT# tinD 6 "poet <br /> BUILDING PLANNING <br /> •: I/Addn/Rem Size 2-I 53 S..) . Zoning Classification 1Z--S <br /> Garage Size ! "6 4r. Overlay/Agreement <br /> VALUATION 2-0 2/.t C574 Nonresidential Use - <br /> Number of Stories /' Residential Use S'F1`,1 <br /> Occupancy Group /2/U Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: 1 <br /> Basement No )(Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction ME needed before final? Yes ✓ No_ <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector , J\ 1 <br /> Fire Sprinkler Required Yes No_ Phone#: `T�„' fff— �S ,— , `410 <br /> Reason Approved .'"'sir Date: 1 1'2(0 I Fl _ <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: "---'— Date: ----- <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes v"---No_ <br /> Reason Everett School Dist Mukilteo School Dist 1...----- <br /> RCW <br /> /RCW 64.55 MF worksheet req'd for permit? Yes_ No_ #of Net New Units: 1 <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No_ Calculated School Impact Fee: Lt.t 215, bQ <br /> Architectural Approved By/Date: V` " • 7/2421/( _ School Impact Fee Credit: ----- <br /> Structural <br /> 'Structural Approved By/Date: Total School Impact Fee Owed: 2,1 , o0 <br /> Comments: 2.,c9/5— ,f2� (n✓�IgC Comments: 5l --00$ i D6 A\ ^ <br /> ovtQa_ --e �2 <br /> v�20' uAkt,`k— <br /> JR— <br /> Intake OK by: Intake OK by*4_______ Ok to route V Hold <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEES .-_ <br /> INTAKE: Checked By: rW Date: 6 <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 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: Kee Date: 7-0 7-1 7 <br /> Water Fee 4 PW Permit Approved-PW /707- 04 4- <br /> Sewer Fee 0 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 Service Yes_ No_ Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br /> 2/ <br />