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3812 28TH PL NE 2017-10-19
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28TH PL NE
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3812
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3812 28TH PL NE 2017-10-19
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Last modified
10/19/2017 1:59:54 PM
Creation date
10/17/2016 11:41:22 AM
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Address Document
Street Name
28TH PL NE
Street Number
3812
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* FOR OFFICE USE ONLY �ERMIT #� ��v 61 " a%( <br />BUILDING <br />Bldg/TI/Addn/Rem Size <br />Garage Size <br />VALUATION <br />Number of Stories <br />Occupancy Group <br />Occupant Load <br />Basement Yes No Fin/Unf <br />Type of Construction <br />Existing Sprinkler System? Yes No Unk <br />Fire Sprinkler Required Yes No._ <br />Reason <br />Existing Fire Alarm Yes No Unk <br />Fire Alarm Required Yes No <br />Reason <br />Enclosure Law App ies Yes <br />Deferred Submitt eq'd Yes No <br />Approved by: a� Date: — <br />Comments• <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Plumbing Fee <br />Mechanical Fee <br />Ping Bidg Review Fee <br />Water Fee <br />Sewer Fee <br />Systems Dev. Fee <br />Traffic Mitigation Fee <br />Public Works Fee <br />School Mitigation Fee <br />PLANNING <br />Zoning Classification P " L <br />Overlay/Agreement � <br />Nonresidential Use <br />Residential Use <br />Proposed No. of Dwelling Units� - <br />Total No. of Dwellin �s: <br />Landscape lanning Inspection <br />needed efore final? Yes No <br />Planning Inspector: <br />Phone #: <br />_-� <br />Approved by: � Date: � ( � <br />Historic Approved by: Date: <br />School Mitigation Reqd? Yes No <br />Everett School Dist Mukilte chool Dist <br /># of Net New Units: <br />Calculated School Imp t Fee: <br />School Impact Fe redit: <br />Total School I pact Fee Owed: <br />Comm� <br />PUBLIC WORKS <br />Intake Checked By: Date: <br />Intake Comments: <br />PW Permit Application Submitted? Yes No <br />PW Worksheet Required? Yes No <br />REVIEW: PW Reviewer: Date: <br />SEE PW WORKSHEET-returned to file <br />PW Permit Approved. PW Permit Not Required <br />FIRE DEPARTMENT <br />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 />�Z <br />
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