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i gi 6— &/fcc" AVC 0 FOR OFFICE USE ONLY • PERMIT# .4 1�� 1 - — <br /> De_c k s <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification 2— <br /> fararg .Size 06— i OD_ 4,F. Overlay/Agreement -_ tIADA ii3eC ; 6`�oAd <br /> VALUATION 45oo Nonresidential Use --- <br /> Number of Stories 1 Residential Use 5 ,, <br /> Occupancy Group LA Proposed No. of Dwelling Units: ----- <br /> Occupant Load Total No. of Dwelling Units: ----- <br /> Basement No Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction -3z12 needed before final? Yes_ No <br /> Existing Sprinkler System? Yes No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved b !114 Date: ('2 l t 2.` (1-- <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes No <br /> Reason Everett School Dist Mukilteo Scho <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 Calculated Scho pact Fee: <br /> Architectural Approved By/Date: dif-7 //9/i 3 Schoo pact Fee Credit: <br /> Structural Approved By/Date: Total,School Impact Fee Owed: <br /> Comments: -Ol5 ,� Comments: L �& ' , <br /> -6 (NC iO - 0Z5 <br /> Intake OK by: 4-11-- Intake OK by: Ok to route _ Hold <br /> Make this a "W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <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 ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: k23 Dater 28 / 7 <br /> Water Fee 0 PW Permit Approved- PW <br /> Sewer Fee ❑ See 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 />