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FOR OFFICE USE ONLY PERMIT# PJ (101 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn em Size 2( ) .0 SF Zoning Classification -- Lk- <br /> Garage Size Overlay/Agreement <br /> VALUATION 11( 7 00 Nonresidential Use <br /> Number of Stories Residential Use Wt v(X <br /> P--g- <br /> Occupancy Group I--a- Proposed No. of Dwelling Units: ---- <br /> Occupant <br /> —`-"�Occupant Load 13 Total No. of Dwelling Units: <br /> Basement No X Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction UQ needed before final? Yes_ No L- <br /> • Existing Sprinkler System? Yes No 'A Unk Planning Inspector: - <br /> Fire Sprinkler Required Yes No > Phone#: .------- <br /> Reason t,-XtS(i,\)� Approved by: V Date: S1/0/1 <br /> Existing Fire Alarm Yes No .?t1 Unk Historic Approved by: Date: 6 <br /> Fire Alarm Required Yes No Y-3 School Mitigation Reqd? Yes No <br /> Reason 4(S7 t '. - Everett School Dist Mukilteg.Schoo <br /> (rl Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes X No_ #of Net New Unit-s-:- ---- <br /> Add'I RCW 64.55 docs required prior to final?Yes No Calculated et'fool Impact Fee: <br /> Architectural Approved By/Date: (Vtt c LA ni le,) -7/t 7 17ooh I Impact Fee Credit: <br /> Structural Approved By/Date: �j' (�,/fig (3 Total School Impact Fee Owed: <br /> Comments: S A-c i 2Yl`U k- (2(oAJ Co✓ANT Comments: <br /> Intake OK by: Intake OK by: Ok to route Hold <br /> Make this a "W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: � �� <br /> Building Permit Uletic. .Ajtivo $ t <br /> ofy <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 green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: /fes Date:5:18 -i 7 <br /> Water Fee PW Permit Approved-PW 70(v-otly <br /> o <br /> Sewer Fee USee PW Review Worksheet <br /> Systems Dev. Fee 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 />