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• FOR OFFICE USE ONLVS PERMIT# G[ icO3 -0 <br /> BUJLDIN : .. <br /> PLAN I.IN.. ..: . <br /> Bldg/TI/Addn/Rem Size '.04 Zoning Classification 8 Z 1 <br /> Garage Size 1141 Overlay/Agreement ; <br /> VALUATION 10, do Nonresidential Use <br /> Number of Stories 3 Residential Use m01\ — -0`rll I <br /> Occupancy Group r M Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: 12_. <br /> Basement No Yes_ Fin / Unfin Landscape or Planning-Inspection <br /> Type of Construction yg needed before final? Yes�'C No <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: illg _ <br /> Fire Sprinkler Required Yes No Phone#: I� - ZS7 1NI <br /> , <br /> Reason Approved by: A Date: s 1 I 1 <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: 2 <br /> Add!RCW 64.55 docs required prior to final?Yes_ No k Calculated School Impact Fee: 3�:20 v <br /> Architectural Approved By/Date: p is Oa School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: $?5-2,-50 <br /> • Comments: 2 c I S //2c It, N S-EC.. Comments: Se�. rrj l i i c ' I r stgvej rey, <br /> OrAvvIl rn I vecAi e\-oirel Ut <br /> Intake OK by: l I- Intake OK by: L 4�' <br /> 0 c to route _ Hold <br /> Make this a W Permit? Yes No Qs I <br /> PUBLIC:WORKS: <br /> ..: FEES,:• = :.= INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: C.:Unc'c nd— c1 rv/I-GU._svtm by }cif/s <br /> Building Permit km&btd 7 ct .i S endi r Re 'U`�LrhAairh. g)Dr C'j£ p: <br /> SurchargeHighqh8Hfgrie Sitental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 21 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 21-00/`r <br /> Water Fee .c� PW Permit Approved-PW Igo7-43a / prsnhi ty 1 ( <br /> cu <br /> Sewer Fee EF See PW Review Worksheet <br /> Systems Dev. Fee ❑ PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee . . . .°... ... <br /> :, .. <br /> .:.:. :: . ..::.. ::�:;: �.. �::FIRES DLPARTM�NT ::::..:::. .':.' :,:-: 1.: <br /> School Mitigation Fee Update/New Sprinklers Yes No Existing Bldg. <br /> Update/New Detection .Yes No Existing Bldg. <br /> Update/New Chemical Yes No Existing Bldg. <br /> Update/New Fire Service Yes No Existing Bldg. <br /> Approved by: Date: <br /> Comments: <br />