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• FOR OFFICE USE ONLY • PERMIT# f) IQ D DLO <br /> BUILDING PLANNING <br /> BldgITl Acldn/ em Size 3 Z7Z Zoning Classification P-- <br /> Garage Size Overlay/Agreement <br /> VALUATIONAide Nonresidential Use CiA u4e-ok <br /> Number of Stories Residential Use no ri.e., <br /> Occupancy Group 43 Proposed No. of Dwelling Units: Ift/O <br /> Occupant Load /Z7 Total No. of Dwelling Units: nin't4 . <br /> Basement No Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction w ` <br /> needed before final? Yes <. No <br /> Existing Sprinkler System? Yes No X Unk_ Planning Inspector: sit(Ale,/ciOn <br /> Fire Sprinkler Required Yes X No_ Phone#: 47,g- 51--173 f oy efrYla <br /> Reason Approved Date: L/ 47 J ) V <br /> Existing Fire Alarm Yes No Unk X Historic Approved by: -- Date: /am' <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 N #of Net New Units: <br /> Add'I RCW 64.55 docs required prior I?Yes_ No 7' Calculated School Impact Fee: <br /> Architectural Approved By/Date: School Impact Fee Credit: <br /> Structural Approved By/Date: N,. /�� ©drys Total School Impact Fee Owed: <br /> Comments: Comments:?yv, 4 y»U<Si YYleQf ` -t Coodi-/-+a?S <br /> a¢' S•�►�,P/pp --TTexiv- llc je4 csiv✓ 5t'1,ll1-G>7S <br /> Laraseape/Ift- er . 2e—c,c�� rl?p ,,+++ <br /> Intake OK b , 03,/Zz�Z'/S Intake OK by: Ok to rout Hold _ <br /> Make this a"W"Permit? Yes No <br /> PUBLIC WORKS <br /> FEES -. INTAKE: Checked By: Date: 3 a Z <br /> Plan Check Fee Comments: p` ,/� <br /> Building Permit am G.l�^� <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 Efrublic Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: eR. 5 Date: �l 00/ic/�f7 <br /> Water Fee El PW Permit Approved-PW C S-- O`T- 1 <br /> Sewer Fee rsiSee 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: „ <br /> ,, , /1/2.-3"" Date: $- I8 <br /> Comments: ` 21 <br /> e-te.,-c Ewe acts,.^-- be'V-- .?L S. <br />