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• FOR OFFICE USE ONLY • PERMIT# 0 I 8/'° 3 -® <br /> BUILDING PLANNING <br /> Bldg/TI/Ad /Rem ize 3,r/2& SF Zoning Classification (A) C, <br /> Garage Size 41/4 Overlay/Agreement <br /> VALUATION im OG0,00 Nonresidential Use -TE L, <br /> Number of Stories 3 Residential Use <br /> Occupancy Group £— ( Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: — <br /> Basement No X Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction 1/4 needed before final? Yes_ No <br /> Existing Sprinkler System? Yes .)( No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: — <br /> Reason Approved may! Date: , /'LoZOt ' <br /> Existing Fire Alarm Yes_ No Unk j( Historic Approved ii by: N ) Date: ' <br /> Fire Alarm Required Yes A No_ School Mitigation Reqd? Yes No <br /> Reason i Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No X #of Net New Units: <br /> Add'I RCW 64.55 docs required prio o final?Yes_ No Calculated School Impact Fee: <br /> Architectural Approved By/Date: School Impact Fee Cre ' . <br /> Structural Approved By/Date: 4.,O e"s lad Total School Impac ee Owed: <br /> Comments: Comments: <br /> Intake OK b ©,;/' /ZAid' Intake OK by. Ok to route Hold <br /> Make this a"W" Permit? Yes No <br /> P BLI ORKS • <br /> FEES INTAKE: Checked By: Date:y' <br /> Plan Check Fee Comments: A I Q/� ) C�� �„c_ <br /> Building Permit /V �" J `-v� <br /> Surcharge High Hazard Sites(Dental/Medical,Animals, Mortuary,etc-Review for RPBA) <br /> Additional Plan Check Er 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 1 eview(separate gree f der) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: �1 Date: 3 ( IX/ <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee la 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 ervice Yes No Existing Bldg. / <br /> Approved by: t Date: L/-3—-i cR <br /> Comments: <br /> Z.12 <br />