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I1ILillie daHpprO1IWW . neei (I-LIt'.F"Ct'<IUt1I t.NILt- UNLY) PERMIT# 30Lf 016^ <br /> BUILDING PNING • <br /> Intake OK by: Date: • Intake OK by:, Assign�'i'o: Jess Date: '�71Z Z3 _ <br /> Intake Comments: Intake Commen'ss: <br /> Zone LI2 <br /> Overlay/Agreement DrOcitiS -88,5W Eve'reVe s„bar.ci. <br /> El Route to Commercial Building Nonresidential Use 1AIctreMovSe.{ oCCCice. <br /> El Route to Residential Building Residential Use mi q <br /> Make this a"IN"Permit Proposed No.of Dwelling Units: m/A <br /> ,BIdgiTI/Addn/Rem Size g9i yf`S Total No.of Dwelling Units: N/A <br /> Garage/Accessory Stunt.Size /f/�,q' Planning/Landscape Inspection Required before Final? DYes Ilo <br /> Number of Stories t / "In Lieu"Fee:Type: Amount$ v <br /> Basement 2-4to DYes, Fin/Unfin School Impact Fee: Total $ 0 <br /> Type of Construction 4-5 Calculated: Credit: <br /> Occupancy Group B S�/ DEverett School Dist DMukilteo School Dist <br /> Occupancy Load 98 Park Impact Fees for permits applied for after 11112022: <br /> Fire Sprinklers:Rupdate Existing ONew System 3 Not.Req'd Park Impact Fee Total$ <br /> (net due after credit for existing uses) <br /> Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): 20Z 3 <br /> Fire Alarm: ?update Existing ONew System ONot Req`d Permit Technician Use Only:Apply Phase-In Credit Per EMCI9.53.200 <br /> Reason Fire Alarm Required: El 100%Credit-Issued 1/1/2022-9/2/2022 <br /> RCW 64.55 MF worksheet req'd for permit? ClYes No El 50%Credit-Issued 9/3/2022-6/2/2023 <br /> Add'I RCW 64.55 docs required prior to final? QYes Vo ❑ 0%Credit-Issued 6/3/2023 or later <br /> VALUATION CALCULATION: Total SIT;47C',;0'0 Additional Notes: <br /> Approved By: t✓ Date:5/z/2 3 <br /> PUBLIC WORKS • <br /> Additional Notes: Intake OK by: Date: <br /> ,c- Intake Comments: PW Worksheet Needed If: <br /> OSys Dev Eval(Util/sW)QTraffic Mit Eval <br /> Approved B; .,� Date: k <br /> 1 ____ jo DSite Work/Drainage DAddress Letter <br /> \v " � ❑Backflow Prevention for high hazard: <br /> (dental,medical,animals,mortuary,hospital, <br /> FIRE DEPARTMENT supportive housing) <br /> Separate/Deferred Submittals Required: EIRoute this folder for PW Review at end --PW Review Worksheet <br /> .Fire Sprinklers Fire Alarm ❑Other: EIThis project also has a separate concurrent PW Review(Green Folder) <br /> Additional Notes: AND OCreate Green Folder EISubmitted Previously ElDeferred <br /> • is mi5proved by Public Works <br /> Fire Dept.Fees: 0 See PW Review Worksheet and associated attached items <br /> Q Review of As-Built Plans-NO FIRE FEE 0 A Separate PW Permit is Required(Permit#: PW ) <br /> El Minimal or No Fire Scope-NO FIRE FEE AND El Is located in this folder <br /> eview/Inspection Scope-ADD FIRE FEE 0 Is in a Separate Green Folder(loin with this folderfor permit issuance) <br /> Approved By: K 7�' <br /> , CXe> -\Date: -.1. 3.:,23 CI Will be issued separately(Separate Green Folder,PW Issued ahead of Bldg) <br /> Public Works has no scope---PW Not Required <br /> EL.I CTRICALIELUM.BING dditional Notes: <br /> Additional Notes: AM\ I fl i'z rtifil n o .e of' V . . <br /> Approved By: Date: Completed By: Date: 0 5In rio2., <br />