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• FOR OFFICE USE ONLY • PERMIT# V g ten-0 1 c1 <br /> BUILDING PLANNING <br /> BldgOAddn/Rem Size \(pi DDD "Z Zoning Classification e6-5 <br /> Garage Size — Overlay/Agreement <br /> VALUATION 3S D,oOt9 Nonresidential Use 1)1,x0.Jrrl <br /> Number of Stories 2_ Residential Use <br /> Occupancy Group A.—S S - Proposed No. of Dwelling Units: <br /> 1 <br /> Occupant Load \ 63kS Total No. of Dwelling Units: <br /> Basement No_ YesX c/ Unfin Landscape or Planning Inspection <br /> Type of Construction \11) needed before final? Yes_ No N( <br /> Existing Sprinkler System? YesA No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes K No Phone#: <br /> Reason x� +�z, Approved by: (1 Date: 46'if—)' <br /> Existing Fire Alarm Yes X No_Unk_ Historic Approved by: — Date: <br /> Fire Alarm Required Yes XC No_ School Mitigation Reqd? Yes No �. <br /> Reason VEXi CTIk41 . Everett School Dist Mukilteo School Dist . <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No X #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No "( Calculated School Impact Fee: <br /> Architectural Approved By/Date: < School Impact Fee Credit: <br /> Structural Approved By/Date: 9 II if Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: e 4 V-6 Intake OK by: ►L Ok to route _ Hold X <br /> Make this a"W"*ermit? Yes No <br /> P BLIC WORKS <br /> FEES INTAKE: Checked By. Date: 7/7/20/8 <br /> Plan Check Fee <br /> Comments:=-ST USE = a .� l 7 oft:= (.WThOufe tr ktI1 <br /> Building Permit t'-�P,bi'r 'a NI6Iiiv 771*) !JE&) effil-KGE-->ciaf No Sys DiV <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) Fres' <br /> Additional Plan Check X'Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED DX- <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent Reviewt (separate green f Icier) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: �,F.1" Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee ElSee PW Review Worksheet No 7.(f07( t k <br /> Systems Dev. Fee 2 PW Permit Not Required > f W me <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes /No_ Existing Bldg.1 <br /> Update/New Detection Yes / No Existing Bldg. <br /> Update/New Chemical Yes No_ Existing Bldg. _/ <br /> Update/New Firs Service es No / Existing Bldg. <br /> Approved by: ,. ,,, I Date: , -15'1 0 <br /> Comments: 9.-e .ore ?C-AC c.:t_� J <br />