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• FOR OFFICE USE ONLY• PERMIT# 0, (110 -Cif 1 <br /> BUILDING PLANNING , <br /> Bldg/TI/Addn/Rem Size p`J1 _91.01 Zoning Classification <br /> Garage Size :71-> Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories \ Residential Use <br /> Occupancy Group ) Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No_ Yes (61)/ Unfin Landscape or Planning Inspection <br /> Type of Construction Typt 1. A TA needed before final? Yes A No <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector:cSp-)/yr i f ill 4/5t7 -n <br /> Fire Sprinkler Required Yes' No_ Phone#: y/ZC— -'7 /7, 7 <br /> Reason Approved b . Date: <br /> Existing Fire Alarm Yes No c_ Historic Approv Date: r5-//0 J <br /> Are Alarm Required Yes '65 School Mitigation R d? Yes "6 No <br /> Reason verett School Dist S Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd r permit? Yes_ No IS. *- of Net New Units: 07 264-i .. <br /> Add'l RCW 64.55 dots require prior to final?Yes 1( No_ •alculated School Impact Fee: gi 2-I(pi if to <br /> Architectural Approved By ate: \ 1� (/g/($ School Impact Fee Credit: <br /> Structural Approved By/DS te: Total School Impact Fee Owed: `fir 7-1(0t ` -i 0 <br /> Comments: 4 sy�-firt„Iz� \ <br /> -- nicey�Ao ik pale./ Comments: <br /> Intake OK by: \\ Intake OK by: Ok to route _ Hold <br /> Make this a"W"Permit? Yes No <br /> PUBLIC WORKS <br /> PEES INTAKE: Checked By: Date: <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 ❑ Public Works Permit-Concurrent Review(separate green folder) 4 <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee ❑ PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPA$TMENT <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 Firrp Sere)ce Yes No_ Existing Bldg. <br /> Approved by: J-(� I/ Date: (o-It'(7 <br /> Comments: L (11-2-7‘ <br /> `\ <br />