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_(2),L I.t-4 3-0 -- Imo, 133--3 100 <br /> FOR OFFICE USE ONLY PERMIT# 61569'61E3 <br /> `r ((n 1 R-tales _ , <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 4 3 55421 Zoning Classification -id _ <br /> Garage Size (R-- l 4 to 4 Overlay/Agreement C ,\ <br /> VALUATION ; S 9 Sce,'at Nonresidential Use <br /> Number of Stories # Residential Use \i\N\l‘\\V\ - C.v'4\\V <br /> ii <br /> Occupancy Group 1 2- Proposed No. of Dwelling Units: \ <br /> Occupant Load "Z lg, Total No. of Dwelling Units: 5- <br /> Basement No XC Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction U i4 needed before final? Yes No <br /> Existing Sprinkler System? Yes No k Unk Planning Inspector: C _Ke CQAC,I6, <br /> Fire Sprinkler Required Yes k , No Phone#: i--- 'L j t , :CC <br /> Reason 7 b OO6-c{-z Approved by: Date: 12, C.) .2CACt <br /> Existing Fire Alarm Yes No k Unk Historic Approved by: ti 1.<N Date: <br /> Fire Alarm Required Yes X No School Mitigation Reqd? Yes \A No <br /> Reason > 3 000 -C f a' <br /> Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes No_ #of Net New Units: Q��Qw �j(�r (Al��� S <br /> Add'I RCW 64.55 docs required prior to final?Yes A No Calculated School Impact Fee: a�Jlj:‘1'1:, ( ,3biArchitecturalApproved By/Date: '� SchoolImpactFeeCredit: O �Q_StructuralApprovedBy/Date: 1 �vlTotalSchoolImpactFeeOwed: _Comments: Comments:�C . es SL.,�id Intake OK byC. Ok to routeMake this a"W" Permit? Yes No <br /> FEESI <br /> Plan Check Fee Comments: <br /> Building Permit *61L <br /> ASS/6 N To U <br /> + �( <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 c' Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee RE Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee ❑ PW Permit Approved- PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee ❑ PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes 7. N Existing Bldg. <br /> Update/New Detection Yes No Existing Bldg. <br /> Update/New Chemical Yes No ,xisting Bldg.Update/New Firefpervice Yes �No Existing Bldg. _ <br /> Approved by: (../b4r- Date: V-Z(--V=0. <br /> Comments: +E� (,�..Y , -�-F(a-y co ,) 'F� � <br /> iw zC 4-c) Q V o ck C--k k ( VQ--1---S--)(4,64 <br />