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0 • <br /> FOR OFFICE USE ONLY PERMIT# C I`40Z -OM <br /> BUILDINW PLANNING <br /> Bldg/TI/Addn/Rem Size 'L,b`1 Zoning Classification &--L <br /> 15 <br /> Garage Size 11141 Overlay/Agreement <br /> VALUATION lb ? 6440 Nonresidential Use (h.. <br /> mJ ,4 kl <br /> Number of Stories Residential Use <br /> Occupancy Group V M Proposed No. of Dwelling Units: i Z <br /> Occupant Load Total No. of Dwelling Units: 1 Z <br /> Basement : No.1K Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction 7g needed before final? Yes )( No <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: Ko V\-ti-y) <br /> Fire Sprinkler Required Yes No Phone#: Liz‘, i 1-1 11" <br /> Reason Approved by: )L~ Date: 5 I1- <br /> )61 <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes , No <br /> Reason Everett School Dist X Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No #of Net New Units: 1 <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No X Calculated School Impact Fee: s3-7.3v <br /> Architectural Approved By/Da •- _ IO(So/i$ School Impact Fee Credit: �3 Z? o <br /> Structural Approved By/Date: i (6 j 5( -t /(9 Total School Impact Fee Owed: )0'' <br /> Comments: 2O(S- //1C. * PS-gG Comments: 6e.x reak, -`ANA' 5..)N <br /> req u`reti % Qlanni^') ‘ 46- (-el . <br /> Intake OK by: U1 1' Intake OK by: dr 4'l c to route _ Hold S. <br /> Make this a"W"Permit? Yes No 04. I <br /> P BLIC WORKS <br /> INTAKE: Checked <br /> ece <br /> FEES d By: S•-• Date: <br /> Plan Check Fee Comments: Q cnu tir ,d- cM( rvif t -24-411 h,sASterfr <br /> ')civil! <br /> Building Permit kt bid lK! sd onti Ar ag /2i,o, <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 El Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee CAI Public Works Permit-Concurren Rev' w(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: i Date: Z 1 O/ <br /> f q <br /> Water Fee la PW Permit Approved-PW 1802-030 <br /> Sewer Fee El See PW Review Worksheet 13 <br /> Systems Dev. Fee 0 PW Permit Not Required (mt- qx, ,5rg <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update le` Sprinklers Yes No Existing Bldg. <br /> Update/New Defection Yes No Existing Bldg. <br /> Update/New Chemical Yes No Existing Bldg- <br /> Update/New Fire S ice Y No Existing Bldg. <br /> Approved by: es Date: � ,, <br /> Comments: <br />