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4111 <br /> FOR OFFICE USE ONLY II PERMIT# elgo(Q-003 <br /> BUILDING PLANNING p <br /> BIdge ,ddn/Rem Size +2-��z" Zoning Classification 61"\U EA i\h) <br /> Garage Size — Overlay/Agreement !{'L41)5�5. = WatS.-4 0. M/M-Ar r <br /> VALUATION gam, o0o N! C A401 . 143 <br /> Number of Stories � �- Residential Use �� W\i`y <br /> Occupancy Group ..-Z Proposed No. of Dwelling Units: Cy <br /> Occupant Load O Total No. of Dwelling Units: b <br /> Basement No ( Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction N needed before final? Yes_ No <br /> Existing Sprinkler System? Yes No X Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No 's Phone#: <br /> Reason Ex L 5Tl.t e..,A"Mt GIL- To as�Nauut J,� Z (6 S j Zo C� <br /> Approved by:�`_ Date: � b <br /> Existing Fire Alarm Yes No c Unk_ Historic Approved by: ]..) r!v Date: <br /> Fire Alarm Required Yes_ No x School Mitigation Reqd? Yes_ No X <br /> Reason t~x-'rl'-a% P`n Pa��x -ra <br /> o,t.o„A.ie.-E.- Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes A No #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes Ac No Calculated School Impact Fee: <br /> Architectural Approved By/Date: School Impact Fee Credit: <br /> Structural Approved By/Date: Cv/gam le• Total School Impact Fee Owed: <br /> Comments: ( Comments: <br /> A OQA-CcAociviko\t%V\AA&--4k, <br /> , , <br /> f, <br /> \QC <br /> 4I I I Intake O_ L3-4K by: cuss Ok to route Hold — <br /> Intake OK by: .` — <br /> Make this a"W"cli <br /> —rmit? Yes X No <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 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent Review(separate green f Ider) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: "1- )S Date: <br /> Water Fee ❑ PW Permit Approved - PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee ErPW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes No K Existing Bldg.X <br /> Update/ New Detection Yes No 4, Existing Bldg./ <br /> Update/New Chemical Yes No ,( Existing Bldg. ,( <br /> Update/New Fire Service Yes_ No A- Existing Bldg. <br /> Approved by: C .-‘,„ Date: I I// / <br /> ti <br /> Comments: L / <br /> vw, 1- , 1+ ch r iI,c- fkklo 1 21 \ <br />