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0u- <br /> FOR OFFICE USE ONLY PERMIT =' y-- <br /> AbW)..3' <br /> .omUIN� ': , : : PLANNING . <br /> I BIdg/TI/Addn/Rem Size ;'.8--7 1 'Zoning Classification — <br /> , I <br /> Garage Size 1 l Overlay/Agreement <br /> VALUATION i Nonresidential Use SCY 1(2J\ <br /> Number of Stories ! Residential Use <br /> Occupancy Group L.S. Proposed No. of Dwelling Units: <br /> Occupant Load '1 ' Total No. of Dwelling Units: <br /> Basement No ZS Yes Fin / Unfin !Landscape or Planning Inspection - <br /> Type of Construction V"'"--F. <br /> f -T - needed before final? Yes No NC <br /> Existing Sprinkler System? Yes_ No 7" Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ Ni _ Phone#: <br /> Reason e_ $ O C 4 C1.vsk " Approved by:( 5Z(:) Date: M 1 j /7rExisting Fire Alarm Yes No -Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes X No_ School Mitigation Reqd? Yes No <br /> Reason ...›.1—C, Pliva ld Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No #of Net New Units: <br /> Add.'RCW 64.55 docs required prior to final?Yes No'i Calculated School Impact Fee: <br /> Architectural Approved By/Date: L_i F 1 4PiaL.m School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: <br /> C./c ust -7CU-4 ts,RitA6‘e <br /> 1 <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes No <br /> ...:.... : - :.:..:.:..::: ,::::.:... <br /> . :.....:. . ::.:. ..:: •: :. :..,PUBLIC .W...:Q:RKS''; . ;' ::;:; :::: .: :. <br /> INTAKE: Checked B 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 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate gr en f der) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:, Date: <br /> Water Fee PW Permit Approved-PW 13011-0036 <br /> Sewer Fee See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> _ <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: ,erys Date:4.-24--;-112) <br /> Comments: I SgjCA-c Ave $J mot%4-0-c,l /° <br /> y.tom�v\Y't- - a>J . -;:o_ �✓l-- /Z12— <br />