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• FOR OFFICE USE ONLY • PERMIT#4, 1 <br /> - _ <br /> :...,.::. ,• . :.:•...-2.-.....,•• .,...BUILDINiis:":•::.'..s:.•i--.-.::•:•:-• :,• *: . '- '••:• .:•• .'••.-.• -' •' -.• ' PLANNING'.. . ''.. .. • .: . . ..... <br /> Bldg/TI/Addn/Rem Size V2,'°IA Zoning Classification 3 a is <br /> Garage Size .11111 Overlay/Agreement : .• <br /> VALUATION lb-i <br /> Nonresidential Use <br /> Number.of Stories .. • Residential Use yy\_0\V) - V-044(11 I <br /> Occupancy Group 2 ict Proposed No. of Dwelling Units: 1--L-4 <br /> Occupant Load Total No.of Dwelling Units: ) .. <br /> Basement = No X Yes Fin / Unfin Landscape or Planning Inspection ? <br /> Type of Construction arg needed before final? Yes 4 No _ <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: h, <br /> Fire Sprinkler Required Yes No Phone#: 1.17 - ist - 251 IN1 Reason Approved by: V.,.\..v a Date: <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: 1 <br /> Addll RCW 64.55 docs required prior to final?Yes No X Calculated School Impact Fee:' <br /> Architectural Approved By/Dat9i - -117 icyro ia School Impact Fee Credit: <br /> CAreittival Approved By/Date: Pitif 9a/ 1 • Total School Impact Fee Owed: <br /> Comments: ZiabiS" //2C. * -/VS-6C. Comments: 4.,e,..._ rc ai,,wis• ge...:4r. st)(\pel ret, <br /> ?Vvv‘`‘rn ,,,vec,fi,"_ rel' e4 <br /> - <br /> (0 <br /> Intake OK by: cji I- Intake OK by: LW 4 ,---erfri:oute — Hold)(. <br /> Make this a"W"Permit? Yes No be., <br /> . ,_:.::-:•.::.::-:.''i ,:':::;',;;..:::::::.!;.'P 3tid WORKS • : -.- :.;:... . <br /> . , .. ... . . ..... .. ... ..... ...... ...: . . . .. .... ...... <br /> -- • ...:... - FEES: -..., - .• - ...• .:s •:. -••.. -,. •• ... -• ....:-.. ••••, :,.. INTAKE: Checked By: Date: 2, ZODt <br /> Plan Check Fee Comments: Q,c,naLryttii- aiVil rvilitt,0—s'oix)) hypleildis <br /> ' SWIYP <br /> Building Permit bat bida9a.al and-6r Re Warki4E671'. 4 Drithvge/4, <br /> Surcharge ffigHfgrkiti(gLerli.t7a-1/ ledij,Natal(si,SitslIgrViary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee * gi Route for Public Works Review(bidg folder, PW Worksheet) <br /> Mechanical Fee xi Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: /5;3- Date: ....5--21-0N7 <br /> Water Fee E PW Permit Approved-PW Ig027-030 1 prENRKEly 0CilE4 <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 :: . . ,:. F.)13.:RiPOPMitMPIT::::;:: :::: : ' i.'. '.;:::.:.ii,:j <br /> School Mitigation Fee Updatfew Sprinklers Yes )< No Existing Bldg. <br /> Update/Neviibecc-tion -Yes No Existing Bldg. <br /> Update/New Chemical Yes No Existing Bldg. <br /> Update/New Fire Service Yes No Existing Bldg. <br /> Approved by: ,--6,un, Date: <br /> Comments: <br />