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.6 <br /> • FOR OFFICE USE ONLY • PERMIT# igo -0 R <br /> Y <br /> BUILDING PLANNING <br /> Bld I/Addn/Rem Size G e/ei g SF Zoning Classification G 4 Auld <br /> A <br /> Garage Size /(//. I Overlay/Agreement <br /> VALUATION ete3`T% S_0O 00 Nonresidential Use CC,S\��U�I'AN�� i <br /> Number of Stories (-6-Qi \ <br /> Occupancy Group /4Z�/sl Proposed No. of Dwelling Units: <br /> Occupant Load 33-3 Total No. of Dwelling Units: <br /> Basement No' _ Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction VL'3 needed before final? Yes% No_ <br /> Existing Sprinkler System? Yes_ No Unk_ Planning Inspector: `Q c)p\\04"(‘ <br /> Fire Sprinkler Required Yes . No_ Phone#: �'t5 Z -Reason Approved y: Date: <br /> ,A, 2_0\9 <br /> Existing Fire Alarm Yes_ No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes No <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes No X. #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes No:A Calculated School Impact Fee: <br /> Architectural Approved By/Date: School Impact Fee Credit: <br /> Structural Approved By/Date: . QS/gLer9 Total School Impact Fe wed: <br /> Comments: Comments: <br /> 0,61/14, i Vi "YhAlit fif14 J )0211g <br /> Intake OK by: Intake OK bsc Ok to route D Hold <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS L._ <br /> FEES INTAKE: Checked By: Dat . <br /> ♦ <br /> Plan Check Fee Comments: <br /> Building Permit .-- <br /> Surcharge High Hazard Sites(D al/Medi Ian APIs, Mo uay . =c-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/ IC Mit. :"BA- NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Revie,:- Idg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Con , -n 'eview(separate green folder)' - <br /> Ping Bldg Review Fee PW REVIEW: PW , ie 'er: Date: <br /> Water Fee El PW Permi ove. - PW 106 015 <br /> Sewer Fee ❑ See P Review Wo\ sheet IntAk a q <br /> Systems Dev. Fee ❑pfPermit Not Requi\d <br /> Traffic Mitigation Fee 1 <br /> Public Works Fee _ FIRE D'• . : MENT I <br /> School Mitigation Fee Update/New Sprinklers Yes / No Existing Bldg. <br /> Update/New Detection Yes // No_ Existing Bldg.__ <br /> Update/New Chemical Yes e No_ Existing Bldg. <br /> Update/New Fire Service Yes/ No Existing Bldg. <br /> Approved by: \J, _ Date: c:7-. — v <br /> Comments: , 2,e° •77 <br /> N 0 �--� e, -1/4--E 4-S,---' . 3 <br />