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I 16— 1 z (0 ' Sfi S <br /> FOR OFFICE USE ONL1 PERMIT# C t�l to-0(5 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size maw=2 W.5 P '1-)I L Zoning Classification - Z_. <br /> Garage Size q 3 O s�'-r Overlay/Agreement <br /> VALUATION / g 3 Nonresidential Use J 1,t <br /> Number of Stories l Residential Use SF (\ <br /> Occupancy Group /2-/L1 Proposed No. of Dwelling Units: \� <br /> Occupant Load Total No. of Dwelling Units. <br /> Basement No 2(Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction t; needed before final? Yes_ No <br /> Existing Sprinkler System? Yes No UnkX Planning Inspector: <br /> Fire Sprinkler Required Yes No QL Phone#: <br /> Reason Approved by:C-1s Date: 3/1(3' <br /> Existing Fire Alarm Yes No Unk X Historic Approved by: pJ)A- Date: <br /> Fire Alarm Required Yes No School Mitigation Regd? Yes No' <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes No, #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No X Calculated School Impact Fee: <br /> Architectural Approved By/Date: � /3j'/ - School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 2_015 l/cL cit J^ &gc.._ Comments: jj a t�'� �U►' -�� <br /> Intake OK by: Intake OK by: Ok to route X Hold _ <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: f�.f' Date: Jc-3C?/ 7 <br /> Plan Check Fee Comments: /*,,z/Caod Lvig 5 ac✓ <br /> Building Permit Sp Ca.5/7 b 0c,Fs Oc? 64a a, s, <br /> Surcharge High Hazard Sites(Dental/Medical,Animals, Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA- NOT REQUIRED <br /> Plumbing Fee ,tgi Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrer1t Review(separate gr-en .Ider) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: /�� Js Date: g <br /> Water Fee IgfPW Permit Approved- PW 1R03_QL'I <br /> Sewer Fee CErSee PW Review Worksheet <br /> Systems Dev. Fee ❑ PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes No_ Existing Bldg. <br /> Update/New Detection Yes No Existing Bldg. <br /> Update/New Chemical Yes_ No Existing Bldg. <br /> Update/New Fire Service Yes No_ Existing Bldg. <br /> Approved by: Date: <br /> Comments: <br /> Xv <br />