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• FOR OFFICE USE ONLY • PERMIT# V- )(7)- W-0() -L <br /> BUILDING PLANNING <br /> Bldg/TI/Ad_O/i Rem Size peve.:,J /' vv /245-.sic- Zoning Classification cZ— , <br /> Garage Size Overlay/Agreement <br /> VALUATION 2500 Nonresidential Use <br /> Number of Stories 1 Residential Use S. t . <br /> Occupancy Group g 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 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:C� Date: t I « 12-0l`� <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 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 Calculated School Impact Fee: <br /> Architectural Approved By/Date: ' C h3/7 School Impact Fee Credit:`' <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Z 0/J /(�L Comments: <br /> Intake OK by: 5 - 30-Or Intake OK by: C-16) Ok to route '4 Hold <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By:At r T Date: S/30/Ze l7 <br /> Plan Check Fee Comments: Ortij See 'E j� fAtiefroltlil raeg/ (1t£ <br /> 1 rn <br /> Building Permit eeyE,s t (nmjlc 011A 4,1M., 1o4YPti <br /> Lottt le. (ant9 s E-A, <br /> rr ,► .,dE Ld ,�rr itM2,74)1ac� i'$n • <br /> Surcharge High Hazard Sites(D2ntal/Medical,Anima/als, MortJary'etc-Review for RPBA) <br /> Additional Plan Check El 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 green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:_ zTF Date: ,S/3t/`07.3 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet/Q/0 <br /> Systems Dev. Fee X 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 />