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• <br /> FOR OFFICE USE ONLY 111 PERMIT# (iI,J 187)9-D <br /> BUILDING._ <br /> PLANNING <br /> g SK Zoning Classification <br /> Bld /TI/Addn�' ize g 7 - R r <br /> Garage Size ,cl/A Overlay/Agreement <br /> VALUATION 3it Z 9 0 Nonresidential Use <br /> Number of Stories I Residential Use 6 4- Mb u <br /> Occupancy Group 2. Proposed No. of Dwelling Units:ai 4 u I I <br /> '1 Occupant Load Total No. of Dwelling Units: GJfiZ/ u <br /> 1j <br /> Basement No y Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No <br /> Existing Sprinkler System? Yes No_Unk_ Planning Inspector:— <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved Date: I2 f 6 75 <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_ odS, #of Net New Units: <br /> Add i RCW 64.55 docs required prior to final?Yes 0, • ' 40 Calculated School Impact Fee: <br /> Architectural Approved By/Date: I ^`\ School Impact Fee Credit: <br /> Structural Approved By/Date: OAX &rt.:N. Total School Impact Fee Owed: <br /> Comments: 20 /5 /,� (.4Comments: Q 'r'1([^ 1 <br /> Intake OK by: 4kt' Intake OK b .--- Ok to route v Hold _ <br /> Make this a"W" Permit? es No_ <br /> PUBLIC WORK . .. <br /> FEES INTAKE: Checked By: Date: 2-7-- <br /> Plan Check Fee Comments: <br /> a--- • i-ee_ <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check - a 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) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: 1Vta) Date: S// he, <br /> Water Fee ® PW Permit Approved-PW '$o 8-c i(o <br /> 11.4 --ta,s Fcc.p€v- <br /> Sewer Fee IM See PW Review Worksheet <br /> Systems Dev. Fee ❑ 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 / xisting Bldg._ <br /> Update/New Fire ervic Yes_ No Existing Bldg. <br /> Approved by: V' +/1'01`---- Date: j-)3 - <br /> Comments: r <br />