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FOR OFFICE USE ONLY PERMIT# e. i °U 9-.X 1 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Z510 .5, p <br /> Zoning Classification 1� - S <br /> Garage Size '7S6 .S 1 Overlay/Agreement <br /> VALUATION 36,96`41 to Nonresidential Use <br /> Number of Stories 2. Residential Use 64-e.X <br /> Occupancy Group RAA Proposed No. of Dwelling Units: Q (2.. <br /> Occupant Load Total No. of Dwelling Units: C0.kc C1-k- <br /> Basement No,X Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction -Z8 needed before final? Yes I No <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: Ma (?,Aos-d, <br /> Fire Sprinkler Required Yes_ No_ Phone#: 42,5 2 0 <br /> Reason Approved by: Date: 2 • kS• ZpACk <br /> Existing Fire Alarm Yes_ No Unk � <br /> _ Historic Approved by: IA Date: <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_ #of Net New Units: AN.ael (,2) <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No_ Calculated School Impact Fee: Ita a,125,"" • /.., <br /> Architectural Approved By/Date: ' 4fZa/[ 8 School Impact Fee Credit: 56 <br /> Structural Approved By/Date: Total School Impact Fee Owed: W Vgr Z SQ,'o <br /> Comments: 20 id,' =12L KiSeG. Comments: ` �� • �`(� s� ` <br /> ee. G. : , ,(�Qy� Q <br /> \a rcoa cs II - ' <br /> OK by: Intake OK by: J r4,-----c - <br /> Intake route 1t. Hold-0 <br /> Make this a"W"Permit? Yes No <br /> PUBLIC WORKS <br /> Intake OK by: Date: <br /> Intake Comments: PW Worksheet Needed if: <br /> ❑Sys Dev Eval ❑Traffic Mit Eval <br /> ❑Site Work or Drainage Proposed <br /> ❑Backflow Prevention for high hazard: <br /> (dental,medical,animals,mortuary,hospital, <br /> supportive housing) <br /> FIRE DEPARTMENT DRoute this folder for PW Review at end ---PW Review Worksheet <br /> Separate I Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) <br /> Fire Sprinklers DFire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred <br /> Additional Notes: ❑This Permit is Approved by Public Works <br /> no - ,-el(2,e4) PI ee PW Review Worksheet and associated attached items <br /> Fire Dept. Fees: V.1,• Separate PW Permit is Required (Permit#: PW letYfrOt ) <br /> ❑ Review of As-Built Plans-NO FIRE FEE •ND ❑ Is located in this folder <br /> ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) <br /> ❑ Review/Inspection Scope-ADD FIRE FEE ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> Approved By: K•FprjiA.) Date: 6 -/q ❑ Public Works has no scope---PW Not Required <br /> Additional Notes: (-----:-.24) <br /> ELECTRICAL <br /> Additional Notes: <br /> Approved By: Date: Approved By: Date: <br />