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411) FOR OFFICE USE ONLY• PERMIT#le, /6 2 `Lr?,C)� <br /> • BUILDIN PLANNING ... <br /> Bldg/TI/Addn/Rem Size t.? bLk Zoning Classification 3 Z g <br /> Garage Size ✓ i Overlay/Agreement <br /> VALUATION 101 64(0 Nonresidential Use <br /> Number of Stories 3 Residential Use MOW) - "0 11 I) <br /> Occupancy Group V M Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: I Z-_- <br /> Basement ' No IK Yes_ Fin / Unfin Landscape or Planning-Inspection <br /> Type of Construction 7(g needed before final? Yes�'C No <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: vvi GA <br /> Fire Sprinkler Required Yes No Phone#: LI Vif. - Z51 i Z s <br /> Reason Approved by: V.,.\.\- 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,--20 0 <br /> Architectural Approved By/Dat % ' (Olio is School Impact Fee Credit: <br /> 6tructurral Approved By/Date: / 1 �f i./ Total School Impact Fee Owed: $6Z30 <br /> • Comments: ZOIS //2C -/VS-6G Comments: GJe rcc I nS' 1 14- 5 r <br /> 061/4,41‘"rn -11\VefcAly‘O• <br /> Intake OK by: Intake OK by: 1ly 4 r' c to route _ Hold)‘._ <br /> Make this a"W"Permit? Yes No bZ, 1 <br /> P BLIC.:WORKS:•: . <br /> :: :... FEES'. INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: Ccnewr A E' ( rwm)--20&VI bypls%,ilf;;; <br /> �Building Permit I�oU-f�bid 1,'k c Nd c+od i r 'fork kth. A ",�,g£,1 ,: <br /> E8SiP??l6 rT �.SapiV1Sion) <br /> Surcharge nigh Hazar Site wental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 10.Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee El Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: 5 21-20/9 <br /> Water Fee El PW Permit Approved-PW IgO2-o30 / p/SidWuSty f3suE4 <br /> Sewer Fee See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee : :: _ y FIRE DEPARTMENT <br /> School Mitigation Fee Updat ew Sprinklers Yes)< 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: ,ec6(A/r Date: 6;3y -1 q <br /> Comments: <br /> (42. .j. <br />