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0 FOR OFFICE USE ONLY • PERMIT# /3 03'0/ 7 <br /> B — 8. -. - ----- -7-. -- :. . - - • • 'IN s . '' ' ' • -: ' <br /> Bldg/TI/Addn/Rem Size t2.04 Zoning Classification Bag <br /> .. <br /> Garage Size -1 l Overlay/Agreement ; . <br /> VALUATION 1• �, t�� Nonresidential Use - <br /> Number of Stories 3 Residential Use m J\V) p1 <br /> :L.. ) <br /> Occupancy Group t 1(4 Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: 1 2... ''k. <br /> Basement = No X Yes_ Fin / Unfin Landscape or Planninginspect_io/n <br /> Type of Construction Tg needed before final? Yes 7� No <br /> • <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: C'le <br /> Fire Sprinkler Required Yes No Phone#: 4 No - ZS7 i 2 1 <br /> Reason Approved by: . ti a Date: S-11"I I <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 /> Add'I RCW 64.55 docs required prior to final?Yes— No X. Calculated School Impact Fee:' 3.7,-b v <br /> Architectural Approved ByfDat jo f,3o is School Impact Fee Credit: <br /> trueterel Approved By/Date: i/1542 OA/ 7 ' Total School Impact Fee Owed: $oZ ) <br /> � <br /> • Comments: Z c //1L -P S-6G Comments: Sew rra i(nQs• 1 ' �'1I- s r . <br /> Oavv\c‘rne•. �-lU�t^ <br /> Intake OK by: c 1 1- Intake OK by: IV e c to route _ Hold gS, <br /> Make this a"W"Permit? Yes No 154. i <br /> .:-.:::...::::.:. •:::. :..''::. :! .P BLIC.:WORKS:..` :;-. <br /> . .....:.:.:.FEES::: :::= = - :::: . l: INTAKE: Checked By: Date: - . <br /> Plan Check Fee Comments: new C a 1 r£iVJ W-,2LLr► hy 9il/fis <br /> r A S�clPPP <br /> Building Permit - km&bi s S 1 r ) W er' c 1) ' r' ', <br /> r� if�T �t S c:�8J/vas' u <br /> Surcharge 'WaalSite (Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee El Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: :5" Date: .5.1-00/7 <br /> Water Fee El PW Permit Approved-PW IZOZ-030 / pffAntEly i <br /> Sewer Fee _ ISSee PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee ..._._._ ......._ - :.FIR.DEPARTMENT.::`. •= . . <br /> School Mitigation Fee Updat ew Sprinklers Yes x No Existing Bldg. <br /> Update/ ew e ec ion -Yes No Existing Bldg. <br /> Update/New Chemical Yes No Existing Bldg. <br /> Update/New Fire Service Yes No Existing Bldg. <br /> Approved by: . jc6w4N Date: --Li3c-t <br /> c( <br /> Comments: <br />