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0 FOR OFFICE USE ONLY . PERMIT# bC it( <br /> BUILDING PLANNING <br /> Bldg/TI/Addr e`er Size 6 7 Z S f Zoning Classification 0— I <br /> Garage Size ,er. Overlay/Agreement G011-//MC4- <br /> VALUATION / /e 7/Z- Nonresidential Use (yf 'V1 m-&9 (A d <br /> Number of Stories I Residential Use I 6 7--'• <br /> Occupancy Group g Proposed No. of Dwelling Units: 1 E-12--- <br /> Occupant Load Total No. of Dwelling Units: 1 <br /> Basement No Y., Yes_ Fin / Unfin Landscape or Planning Inspection / <br /> Type of Construction ILf� needed before final? Yes_ No V <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: C _ <br /> Fire Sprinkler Required Yes No Phone#: - /Cn-owns war fc,ji . <br /> Reason Approved Date: / / / <br /> Existing Fire Alarm Yes_ No_Unk_ /Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes 1( No <br /> c4 r <br /> Reason Everett School Dist 'V ,Mukilteo School Dist ' ,:.et,t) <br /> RCW 64.55 MF worksheet req'd for permit? Yes No #of Net New Units: r <br /> Add'I RCW 64.55 docs required prior to final?Yes No Calculated School Impact Fee: /'7 `'; <br /> sO �: '' <br /> Architectural Approved By/Date: Oil 7/Z7/i2. School Impact Fee Credit: IV OA)e <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> C�5-� -,4 -1 > • <br /> Comments: 2 J/6- /1ZC Comments: <br /> Intake OK by: k� Intake OK —�� Ok to route Hold <br /> Make this a"W" ermit? Yes No <br /> PUBLIC WORKS 1 <br /> FEES INTAKE: Checked By: ,s - ,,,,,,,„fre <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(De tal/Medical,Animals, N rtuary,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 Workss eet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent Revie arate greenfolder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewe • Date: I ' 7 <br /> \'' <br /> Water Fee ❑ PW .t A pr d- PW ! 60 <br /> Sewer Fee KSee PW view Workshee fAVF.m q( U l/� <br /> • <br /> Systems Dev. Fee ►. . ' ermit Not Required &k t eash •No PO I'ttiim <br /> Traffic Mitigation Fee (A O KSH1€-1 aS j'ej. . <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: t^ ). <br /> (I—Comments: <br />