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• FOR OFFICE USE ONLY • PERMIT# C II-o3-0 iv <br /> BUILDING PLANNING <br /> Idg /Addn/Rem Size ` 1Z Co $. ' Zoning Classification T4— 1, <br /> Garage Size 5/5 _s-.-f Overlay/Agreement 1V 0 N & <br /> VALUATION 2,/ei/ / 73 Nonresidential Use V013 ne <br /> Number of Stories 2- Residential Use <br /> Occupancy Group WO Proposed No. of Dwelling Units: tI <br /> Occupant Load Total No. of Dwelling Units: 1 <br /> Basement No x 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: .e, c we/0o f <br /> Fire Sprinkler Required Yes No- Phone#: — T — ��-i <br /> Reason Approv likiki Date: a12�/ I- <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: - Date: ' 1 <br /> Fire Alarm Required Yes No_ _ School Mitigation Reqd) Yes Y No_ <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No_ #of Net New Units: 1 <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No_ Calculated School Impact Feel (Q1 q 50 <br /> Architectural Approved: c 4 Date:/4/7 School Impact Fee Credit: 0 N-6 <br /> Structural Approved: Date: Total School Impact Fee Owed: 4 t Q, 4 S 0 <br /> Comments: 2 / - i,Qc fit ki)S C 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: Ala Dater Z!o`/7 <br /> Water Fee ,'PW Permit Approved- PW i 1 03— <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee 0 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 />