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0 FOR OFFICE USE ONLY • PERMIT# CISO3-OtS/ <br /> 1304:PIN: :EE :::i::. : -::: :::: s.: ::,: :E. E.:E : ::,: ,: - .; .: :: : PLANNINGH <br /> Bldg/TI/Addn/Rem Size 171.°14 Zoning Classification 3 a IS . <br /> Garage Size riTill Overlay/Agreement <br /> . .. <br /> •. <br /> VALUATION 10i 64to <br /> Nonresidential Use ., <br /> - • <br /> Number of Stories 3 Residential Use MOW) -04'ell I <br /> Occupancy Group V M Proposed No. of Dwelling Units: 1--2--- <br /> . <br /> Occupant Load Total No.of Dwelling Units: 1-1._ :. . <br /> Basement = No AK Yes Fin / Unfin Landscape or Planning-Inspection I <br /> Type of Construction Lyg needed before final? Yes--A No <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: V-)17 C <br /> .2 A <br /> Fire Sprinkler Required Yes No Phone#: /4 iist - 25-13-7%5---- <br /> Reason Approved by: V,.\A- j A Date: 6--11'II <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 /> Addl RCW 64.55 docs required prior to final?Yes No X Calculated School Impact Fee:- 1/43.7,-.2.0 0 <br /> Architectural Approved By/Dat% A* tots° is School Impact Fee Credit: <br /> .Struettrral Approved By/Date: /44/i5& Total School Impact Fee Owed: <br /> • Comments: ZcbiS" //2C. .4e. 4VS-gC. Comments: epee_ y-cjI(N2,6_,• gc.4 1 1i- sun <br /> 00""`N3 1,‘-vedi e•ir 14rel`."6-•( <br /> Intake OK by: cji I' Intake OK by: IIV 4 ,........ fr'oute ____ Hold)‘:, <br /> Make this a"W"Permit? Yes No [5 . <br /> :" ::.::f::'::::;:.• : :.: :: P 13,Wq.:WORKS:..:. <br /> ::.FEES::, '- :'.. ..L::,' i,i: :l:i : .1,::'L.:::- :;.,-.i. ,::::.i7i11 .:. INTAKE: Checked By: Date: ' - • <br /> Plan Check Fee . Comments: cLoncumAt am-1 rwitw-206 hq(frildfs <br /> " SUIP/14' <br /> Building Permit kindt bic1 .419a S end-Ar Rh) Worhhair. 4 DratinagElark <br /> Surcharge . rivizociSite Perita1/AlTledici,Agal(s$otary,etc-Review for RPBA) <br /> Additional Plan Check , 0 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 Igi Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:, c-F"+" Date: <br /> Water Fee El PW Permit Approved-PW IgO2-030 i pamentay osuri( <br /> Sewer Fee ISSee PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee ::';'•FIFE.DEPARTMENT:::::i.:::::::: <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: ,-,„,(A,, Date: <br /> Comments: <br /> tiOli <br />