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I FOR OFFICE USE ONLY PERMIT# (-il510 3.'t 7/3 <br /> :. .:.. : .:: - --- <br /> BUILDIN LAN LING:. <br /> Bldg/Tl/Addn/Rem Size 12.D4 Zoning Classification B Z IS . <br /> Garage Size P. 1-11 Overlay/Agreement <br /> VALUATION fb-1, Nonresidential Use <br /> Number of Stories 3 Residential Use m J 1S 1 p ]11) <br /> Occupancy Group V lCL Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: I Z-- '')- <br /> Basement No X Yes_ Fin / Unfin Landscape or Planning:Inspection <br /> t <br /> Type of Construction 7g needed before final? Yes--ANo <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: VI, O <br /> Fire Sprinkler Required Yes No Phone#: LIVE at - 24-7 i? , _ <br /> Reason Approved by: )&. a Date: 5— 1'11 <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:' $37,"?0 0 <br /> Architectural Approved By/Dat % Io(3o ia. School Impact Fee Credit: <br /> Me tal Approved By/Date: i ii oz.'1 , Total School Impact Fee Owed: oZ- C) <br /> Comments: 2diS j/1c -PS-gG Comments: Sew Y?c 1,f'QS` 5 r <br /> 004411"r3 tr\Vedi4"-0. <br /> Intake OK by: (-- Intake OK by: IVii, c to route _ Hold <br /> Make this a"W"Permit? Yes No I <br /> ::::::: 1:. :;.:':P BLIC.:WORKS:.:. j;. <br /> ... ........:.: FEES::.:::: :'. ° .:...::..:`.;..::: INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: conetlir t rw/I U--2t.76 by��cildis <br /> Stair <br /> Building Permit km*b/ 'f& s S�'Ar ) W �c 2) j£ <br /> Ees/Y?fL6/o Ut'T c1-.S‘ 5p/vtsioi <br /> SurchargeHigh Hazar Site (Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee leKRoute for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee - gr Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: i Date: .-.1'20/7 <br /> Water Fee E PW Permit Approved-PW IgO27030 / PI EAuSly 1 Sui <br /> Sewer Fee Er See PW Review Worksheet <br /> Systems Dev. Fee - ❑ PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee -.. =- -F1Rf_DEPARTMENT : <br /> School Mitigation Fee Updat ew Sprinklers 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..,z(--01,,,,c\ Date: 6;?g—1 l <br /> Comments: <br />