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FOR OFFICE USE ONLY 0 PERMIT# C ` °9r 6 \Li <br /> BUILDING PLANNINGt <br /> Bldg/TI/Addn/Rem Size l (oCo I Se Zoning Classification l -I <br /> Garage Size 61 5 5:/ Overlay/Agreement N 00 C <br /> VALUATION Si,Z t 3®g Nonresidential Use N U Iv e <br /> Number of Stories 2, Residential Use rg--- <br /> Occupancy Group 1r..�u Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: 1 <br /> Basement No gYes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction t,ie needed before final? Yes\7 No <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: 1TYeS A V v et d a n <br /> Fire Sprinkler Required Yes No_ Phone#: 42—S 'Z- - 55'4-31 <br /> Reason Approved by( Date: 3 J dz-I <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: - Date: - <br /> Fire Alarm Required Yes_ No_ School Mitigation Regd' Yes V No_ <br /> Reason Everett School Dist V Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No_ #of Net New Units: I. <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No_ Calculated School Impact Fee: 1 cp+G �� <br /> Architectural Approved: Date$'//,/,c School Impact Fee Credit: 1t OK\I <br /> Structural Approved: Date: Total School Impact Fee Owed: '4Q ) 15) <br /> Comments: zot6- //It 4 v �& Comments: <br /> Intake OK by: <br /> Intake OK by: Date: <br /> PUBLIC WORKS <br /> FEES 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) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: 4•24'-'7 <br /> Water Fee T.KPW Permit Approved- PW 1'1,o 1`fl6 \ <br /> Sewer Fee ❑ 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_ Existing Bldg._ <br /> Update/New Fire Service Yes No_ Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br /> 4G) <br />