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FOR OFFICE USE ONLY PERMIT# S -06) <br /> BUILDING` PLANNING <br /> Bldgrn/Addn m Size U 17O c- <br /> t- <br /> _.....----' <br /> Zoning Classification �'— <br /> Garage Size Overlay/Agreement <br /> VALUATION 3 31 S( Oi)O Nonresidential Use CTRL E <br /> Number of Stories 1 Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load I 15`f Total No. of Dwelling Units: _---- <br /> Basement No.A Yes Fin / Unfin Landscape or Planning Inspection <br /> la-of Construction _ ii u - Q needed before final? Yes No i <br /> Existing Sprinkler System? Yes )C No'Unk Planning Inspector: -- <br /> Fire Sprinkler Required Yes)' No Phone#: <br /> Reason jFIfl- (3 Approved 1:42/0Z/ Date: <br /> ��Zh k, <br /> Existing Fire Alarm Yes 16 Nt Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes 1' No,_ School Mitigation Reqd? Yes No -------- <br /> Reason <br /> SReason ur.c'.-wm„. 4 -kid Everett School Dist Mukilteo School D151-------- <br /> RCW 64.55 MF worksheet req'd for permit?J Yes_ No 1l #of Net New Units: <br /> Add'l RCW 64.55 docs required prior to final?Yes No Calculated School ct Fee: <br /> Architectural Approved By/Date: (11e1 hp,1,61 Vito�? School I ct Fee Credit: <br /> Structural Approved By/Date: JJ Yl (I,6-110442 Q / Totaf School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: PA`. Intake OK• `a. Ok to route Hold ✓ <br /> Make this a "W" Permit? Yes No <br /> PJBLIC WORKS <br /> FEES INTAKE: Checked By: �� Date: iE . <br /> Plan Check Fee Comments: 1�V/v Qi, <br /> 4-u <br /> Building Permit 41562/?Y-- /V O C `2„ „ne .9164F <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortua 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 0 Public Works Permit-Concurrent eview(separate gr n f Ider) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer Date:S_6 Ze <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet A//1/4-- <br /> Systems Dev. Fee Z PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes 7- No Existing Bldg. <br /> Update/New Detection Yes / No_ Existing Bldg. <br /> Update/New Chemical Yes_ No f Existing Bldg. <br /> Update/New Fire Service Yes_ No / Existing Bldg. <br /> Approved by: f(EL Date: 3----2--q-i) <br /> Comments: <br />