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FOR OFFICE USE ONLY PERMIT# t).-)<S O3 -059- <br /> . . ..: <br /> 0S h <br /> BUILDING <br /> Bldg/TI/Addn/Rem Size 70 7f Zoning Classification 6M u <br /> Garage Size ". Overlay/Agreement <br /> VALUATION 75-cao Nonresidential Use 1 - <br /> Number of Stories Residential Use <br /> Occupancy Group ,. 1 Proposed No.of Dwelling Units: <br /> , <br /> Occupant Load ! 1 Total No.of Dwelling Units: <br /> Basement No$ Yes_ .Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction f �'.� needed before final? Yes_ Nb" <br /> Existing Sprinkler System? Yes— No' Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No6 Phone#: J <br /> Reason Approved by: Date: 3 Zg/ f$ <br /> Existing Fire Alarm Yes_ No_Unk� Historic Approved by: Date: 111 <br /> Fire Alarm Required Yes_ No-14School Mitigation Reqd? Yes No_ <br /> Reason QI4L Qt lib` S75 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_ N Calculated School Impact Fee: <br /> Architectural Approved By/Date: Lam'- JAJ /e./d School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by:\ i 'f �ig'fq I E3' Intake OK by: _____ Ok to route _ Hold <br /> Make this a" A ermit? Yes No <br /> PUBLIC,WORKS <br /> .'FEES., .. . INTAKE: Checked By: FS Date: 5/t 5 <br /> Plan Check Fee Comments: A414 <br /> 404) ir, <br /> Building Permit 3J elae ice_ <br /> Surcharge <br /> 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 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 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 3 AP N.PW Permit Not Required '4AT - 1 o <br /> Traffic Mitigation Fee I <br /> Public Works Fee FIRE=DEPARTMENT . <br /> School Mitigation Fee Update/New Sprinklers Yes_ No ,Existing Bldg. , <br /> Update/New Detection Yes_ No 7--Existing Bldg. / <br /> Update/New Chemical Yes_ No Existing Bldg. <br /> Update/New Fire en/ce Y Noxisting Bldg. <br /> Approved by: Date: / /4^ <br /> Comments: <br />