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(.., `F,)C2.ot(of-) ± 1b42 (6c.) _ <br /> I t " 41 so C,.‘ eso: 0 FOR OFFICE USE ONLY • PERMIT# 'no9 " 039-- <br /> 22,90 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 21.., 2�'4--4Z Zoning Classification K El <br /> Garage Size Overlay/Agreement <br /> VALUATION $ `, 2-3`Zj en-3--Co Nonresidential Use Ware)' o0 -12 - <br /> Number of Stories Residential Use <br /> Occupancy Group (- i- , r- i Proposed No. of Dwelling Units: — <br /> Occupant Load 52_ Total No. of Dwelling Units: — <br /> Basement No) Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction Ve'' needed before final? Yes_ No— <br /> Existing Sprinkler System? Yes X No Unk Planning Inspector: V. gi' 1-k',_,A r( <br /> Fire Sprinkler Required Yes h No Phone#: HIS-- 2 Si_ / -rs <br /> Reason l.1 FPA I Approved by: ' k. LC! Date: I Z-1Z- 11 <br /> Existing Fire Alarm Yes X No Unk_ Historic Approved by: Date: — <br /> Fire Alarm Required Yes h No School Mitigation Reqd? Yes No ' <br /> Reason N VfP W- Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No k #of Net New Units: / <br /> Add'I RCW 64.55 docs required prior to final?Yes No k Calculated School Impact Fee: /r` <br /> Architectural Approved By/Date: , 0;" 12((?/I7- School Impact Fee Credit: <br /> Structural Approved By/Date: • %✓ 11/29L/1_ Total School Impact Fee Owed: <br /> Comments: Comments: AN `l.OZ� <br /> Intake OK by:' t!e'( l'' Intake OK by: r ft Ok to route X- Hold <br /> Make this a"W" Permit? Yes No <br /> PUORKS <br /> FEES INTAKE: Checked By: Date: Z. �d/fir' <br /> Plan Check Fee Comments: firtrito ��t!rt/rAl ��/� ct <br /> Building Permit 4 .C' - WI Un fiQ &flak/Kett/10'w <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 g Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee W REVIEW: PW Reviewer: Date: <br /> Water Fee W Permit Approved- PW W( O <br /> Sewer Fee See PW Review Worksheet 10/Ltd i 11,6/' <br /> Systems Dev. Fee El Permit Not Required I k4,ti oi p - "r1 • <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPA TMENT J <br /> School Mitigation Fee Update/New Sprinklers Yes No Existing Bldg. <br /> Update/New Detection Yes 7 No Existing Bldg. <br /> Update/New Chemical Yes_ No 7/Existing Bldg. <br /> Update/New Fire ervice Ye No Existing Bldg. <br /> Approved by: Date: \'I\`--\`l <br /> Comments: \r <br />