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• <br /> FOR OFFICE USE ONLY • PERMIT# 6 ( & O xj <br /> — _ <br /> .'.:.!H:,:. ,:•.:-,:. : :•.:-::. : 13 U11.6.1N(9 ::1-::.: .:: -.,1. . ; :, ::. '1:...':: ;i::i:::: :i: - : ::.• PLANNING:.::::i.:'•: ,.i..: : <br /> Bldg/Tl/Addn/Rem Size <br /> t210,441 Zoning Classification z. <br /> Garage Size <br /> Overlay/Agreement <br /> VALUATION 101 64LI. Nonresidential Use .. <br /> t-N <br /> Number of Stories 3 Residential Use yvv)\\_) - \---okoni i <br /> Occupancy Group V/GI Proposed No. of Dwelling Units: 1—2..... <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement :- No X Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction zrg needed before final? Yes 4 No <br /> Existing Sprinkler System? Yes No Link_ Planning Inspector: 141, ch <br /> Fire Sprinkler Required Yes No Phone#: 1.12 - 4110? - 2.51 12, ,S--- <br /> Reason Approved by: 11-..\1- A Date: <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)c #of Net New Units: .1 <br /> Addil RCW 64.55 docs required prior to final?Yes No X Calculated School Impact Fee:' $3.7,-70 0 <br /> Architectural Approved By/Dat9i - lt foiso ia School Impact Fee Credit: <br /> tructurai Approved By/Date: gi4/f5/k 02./ . Total School Impact Fee Owed: <br /> Comments: ZcoiS" //2C. * 4VS-gC. Comments: 'See rcal;Nis• 1 ii_ sufve rel, <br /> JA <br /> 4c4/IN"In tr\Veclv‘. re-I`d-e4 <br /> i <br /> Intake OK by: 01 I- 1 r, Iler...... <br /> Intake OK by: A*1 4 . to route ____ Hold <br /> Make this a"W"Permit? Yes No <br /> .:::::.:,•:•:::.;-: .!:;::•';' :i.. :J.*:..- 0 WORKS:-. . :.: ..:::-..- .i-; <br /> FEES :-: ' '..:: ' : .'s...::;''L ,:: si •:,,e. ' . <br /> i-::::• • .. :::..;i•-:: INTAKE: Checked By: Date: ‘' - • <br /> Plan Check Fee Comments: etocuirstii-- 0_,M1 rciViti.V—2o hlitilifis <br /> ' <br /> Building Permit kbuit W0drdod-6r at Wor0 E 0 i. <br /> a82eIkig( ;64fiIiSSurcharge iHrk ( eltedica,Xtls,Mortuary, <br /> etc-Review for RPBA) <br /> Additional Plan Check El Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 0 El Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 18 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: df,g- Date: 5-71-Zer <br /> Water Fee El PW Permit Approved-PW Ig02-4330 prfAatiady NCita <br /> / <br /> Sewer Fee Er See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee ;: :::::.':: :..: .: -::::. :-. ' :i:0Rf::100194itMANT.::',:!::•:':.:::: <br /> School Mitigation Fee Updatz ew Sprinkle Yes .>< No Existing Bldg. <br /> Update/ ew etection .Yes No Existing Bldg. <br /> Update/New Chemical Yes No Existing Bldg. <br /> Update/New Fire Service Yes No Existing Bldg. <br /> Approved by: co(A/y\ Date: <br /> Comments: <br /> • AV <br />