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4111 FEDERAL AVE 2017-08-21
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4111 FEDERAL AVE 2017-08-21
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Last modified
8/21/2017 11:15:04 AM
Creation date
8/21/2017 11:14:59 AM
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Address Document
Street Name
FEDERAL AVE
Street Number
4111
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FOR OFFICE USE ONLY PERMIT# )Vv <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size I Zoning Classification <br /> , e Size S Overlay/Agreement <br /> VALUATION ODD Nonresidential Use '-- <br /> Number of Stories IResidential Use <br /> Occupancy Group LA Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units:I 1 <br /> Basement No Yes XFin / Unfin Landscape or Planning Inspection <br /> Type of Construction 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 by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes No <br /> Reason Everett School Dist Mukilteo Scho st <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submittal Req'd Yes No Calculated Schoo act Fee: <br /> Approved by: Date: '— - School I ct Fee Credit: <br /> Comments: To al School Impact Fee Owed: <br /> Comments: <br /> Intake OK by: a ON I MAO) <br /> Intake OK by: <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: , Date: 17 <br /> Plan Check Fee Comments: I <br /> Building Permit Bi,�f (de> -- <br /> Cac7C�/✓�5 S��Qsh �IOCIC$ <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: Date: <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee 119 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 />
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