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• IIII <br /> FOR OFFICE USE ONLY PERMIT# Ug6 ''DV'-' <br /> '...:..BuJI-DIN i .: - --: : -- ,.- ., . : •.• : . -- . : . ; -..--- . PIANNNO-. <br /> BldgfTI/Addn/Rem Size t2,bik Zoning Classification 3 z is . <br /> Garage Size /141 Overlay/Agreement - ... . <br /> . . <br /> • <br /> VALUATION lb-1, 64(0 <br /> Nonresidential Use <br /> - •Number M <br /> .of Stories .3 Residential Use OW I <br /> ) - V-04'41 <br /> . <br /> Occupancy Group 2 M Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: 1-2__ :. <br /> Basement = No X Yes Fin / Unfin Landscape or Planning-Inspection •:: <br /> Type of Construction 7g needed before final? Yes 4 No <br /> Existing Sprinkler System? Yes No Unk Planhing Inspector: Ike cl <br /> Fire Sprinkler Required Yes No Phone#: ti2A. 411it - z5.6- its" <br /> Reason Approved by: g,.\1-.,aidi 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 /> _ <br /> Reason . Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes No)5 #of Net New Units:Add!RCW 64.55 docs required prior to final?Yes No X Calculated School Impact Fee:" ,537,:b o <br /> Architectural Approved ByfDat9i ..:41* toiso ma. School Impact Fee Credit: <br /> trattral Approved By/Date: /14,41.542 .10./ / . Total School Impact Fee Owed: <br /> Comments: Zcb/S- //2C. * -/VS-gC.. Comments: epee_ rcjI(rws, .• gli-- sun <br /> OrmAINI r3 tr\Ver Ai V‘- " <br /> a et.8.4 <br /> Intake OK by: Off. Intake OK by: .._-.--:-erkTroute — Hold S <br /> Make this a"W"Permit? Yes No OZ. <br /> :.-: .:•••..: ;•. 2_ 1••• '' :.! PJJBLiCWORKS....: ... .... L ... - . .., <br /> FEES INTAKE: Checked By: Date: * <br /> Plan Check Fee . Comments: Conewreja- NO fTiVitt..0---Bohai hliA)cilills <br /> ' _ Staff' <br /> Building Permit Kbidt <br /> bldiki , d enid• r PW <br /> 4CgipPrg-f4 )iW(erktSurcharge High Sitefiea1/ edica,0inas,VriACrCy,Tir• ziDrithsiekiwk <br /> etc-Review for RPBA) <br /> Additional Plan Check El Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee • 131 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 1E Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:, F:A" Date: 5-21-00/7 <br /> Water Fee El PW Permit Approved-PW ig027430 p/TiAtiSly iX•Ca£44. <br /> / <br /> Sewer Fee EfSee PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> . <br /> Traffic Mitigation Fee <br /> Public Works Fee :. .f:.. '.••:.:2. ••• .:... 4iFtg:PtFEAKTMgS'r...':.'.:.: :.: .'..''.1.-'•.., - <br /> School Mitigation Fee Updat: 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: y„,R31(-6(A/kf\ Date: <br /> Comments: <br /> 1- <br />