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• FOR OFFICE USE ONLY • PERMIT# C I C)6°oCl <br /> BUILDING PLANNING <br /> Bldg/TI/ Rem Size /8 a as- .f l Zoning Classification 12-5 <br /> Garage Size Me Overlay/Agreement <br /> VALUATION 2-/O £ Nonresidential Use ' �7 <br /> Number of Stories 2- Residential Use c I11 S?(2- <br /> Occupancy Group 12. Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: I <br /> Basement No X .Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction .Y g needed before final? Yes_ No A <br /> Existing Sprinkler System? Yes No—Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: ye. Date: / Z7-18 <br /> Existing Fire Alarm Yes No—Unk Historic Approved by:At)--- Date: <br /> Fire Alarm Required Yes— No School Mitigation Reqd? Yes— No l' <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No_ it of Net New Units: <br /> Add'I RCW 64.55 does required prior to final?t��Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: cl(f 7//('/8 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 'Z 0 /S igC 40 tJ S gc, Comments: <br /> Intake OK by: f tootiI f Intake OK by: k4' Ok to route )C Hold <br /> Make this a"W" Permit? Yes No <br /> PU LIG,/WORKS <br /> FEES INTAKE: Checked By:: i,t' Date: Sin(ZO!a <br /> Plan Check Fee Comments:,/,�� [v$/OSP a�� —/l0 F, 6r wv- (ve L <br /> Building Permit /r4a dA�Mt✓f�_ppy{j irp pghj th <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑I Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee la Route 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: 4- Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet /V <br /> Systems Dev. Fee ErPW Permit Not Required Q'Tihls.--as jest. <br /> Traffic Mitigation Fee £Y Ca7Krirth- /Rita. <br /> Public Works Fee ARE 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 / fisting Bldg. <br /> Update/New Fire Se ice es— Noxisting Bldg.— <br /> Approved by: Date: 7 3o -t 9,, <br /> Comments: N r9�, 2/ ` <br /> Il i! y <br />