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FOR OFFICE USE ONLY PERMIT# Ci 3�t . <br /> _,O <br /> -. : . 411 :.::: ::;..:. PL:ANN -;.:_: -.: <br /> Bldg/TI/Addn/Rem Size l2/04 Zoning Classification B Z. ig . <br /> Garage Size PP-11 Overlay/Agreement <br /> VALUATION [b21 Nonresidential Use <br /> t. . <br /> Number.of Stories . Residential Use MO 1r) - -o n I y <br /> Occupancy Group 2 Ai Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: 1 Z--- s• <br /> Basement = No IK Yes Fin / Unfin Landscape or Planning-Inspection <br /> � / • <br /> i <br /> Type of Construction 7g needed before final? Yes�C No T <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: liv G, <br /> Fire Sprinkler Required Yes No Phone#: LI2 MP - Z51 1? <br /> Reason Approved by: .\ A Date: s-y 1--147 <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: --- <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes X No <br /> Reason Everett School Dist X Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No X #of Net New Units: I <br /> Add!RCW 64.55 docs required prior to final?Yes No k Calculated School Impact Fee:' $37,-20 v <br /> Architectural Approved By/Dat % Alt to j'so is School Impact Fee Credit: <br /> Karel Approved By/Date: 1 15 7'2./ 1 . Total School Impact Fee Owed: $bZ-5C.) <br /> Comments: Zc,IS /2C * 4V SAG Comments: .„,_ rcc 1,na' 1 ' Li son rot, <br /> h -�^�d� r�ui+'e1 <br /> Tom` �� <br /> ' yo. <br /> Intake OK by: cji U Intake OK by: 1t'r 4'+ to route Hold <br /> Make this a"W"Permit? Yes No [54. I <br /> • <br /> .- FEES .. .. <br /> ._::...-.:. . :: INTAKE: Checked By: Date: • <br /> Plan Check Fee . Comments: Conu, '3vii- t rwid.,J--2o- by(Owls <br /> suet" <br /> " f S�.'r W <br /> Building Permit k ��4 � Wr £c . t 'yr' 4', <br /> EE Sl yJ? L(aA)1 T S i8.D,v)Si'N <br /> Surcharge igh Hazar Site (ental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee gl Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee Xi Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: .s 21-20/7 <br /> Water Fee El PW Permit Approved-PW IZOZ7-03O / ptBact'1 u{ <br /> Sewer Fee Er See PW Review Worksheet <br /> Systems Dev. Fee . 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee :: :: ::. - FIRE DEPARTMENT:::!::.:.-.::.:: J: <br /> '... :fj <br /> School Mitigation Fee Updat ew Sprinklers Yes )( No Existing Bldg. <br /> Update/ ew e ection -Yes No Existing Bldg. <br /> Update/New Chemical Yes No Existing Bldg. <br /> Update/New Fire Service Yes No Existing Bldg. <br /> Approved by: yvZca(,4/4N Date: ':,3g-19 <br /> Comments: <br />