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FOR OFFICE USE ONLY PERMIT# i Flo - <br /> BUILDING _ ' PLANNING . . <br /> Bldg/TI/Addn/Rem Size 4 , -06 7 Zoning Classification - <br /> Garage Size -- Overlay/Agreement <br /> l� <br /> VALUATION $ (7°61. Nonresidential Use 5.4 - <br /> a - <br /> Number of Stories / ! Residential Use <br /> Occupancy Group a Proposed No. of Dwelling Units: <br /> Occupant Load Ar Total No. of Dwelling Units: --®— <br /> Basement No_ Yes_R 3 Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No X <br /> Existing Sprinkler System? Yes_ N- Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No X Phone#: <br /> Reason Approved by: [A Date: S(-0'11 <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 x Calculated School Impact Fee: <br /> Architectural Approved By/Date:-7-z..00- ell i 7 School Impact Fee Credit: <br /> Structural Approved By/Date: 10-i- ' t•'b /24/ Total School Impact Fee Owed: <br /> Comments: <br /> /1/ O 10 t5T&-. ST/4C <br /> T/4 ;� 1n `� Comments: <br /> Intake OK by: /L4-J1 �.-C�0$S `"'may` Intake OK by: 1} Ok to route 4 Hold _ <br /> Make this a"W ermit? Yes No <br /> PUBLIC WORKS •. , <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <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: AB Date: 8-11-17 <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet ISO Sys de 14 i4 • <br /> Systems Dev. Fee Q PW Permit Not Required RetF�'L -* hi et ruArathirin, <br /> Traffic Mitigation Fee <br /> (p,2240 <br /> Public Works Fee FIRE DEPA TMENT. 1.10+4 re£t`.94 j <br /> School Mitigation Fee Update/New Sprinklers Yes 7 No_ Existing Bldg._ <br /> Update/New Detection Yes/Noxisting Bldg._ <br /> Update/New Chemical Yes_ No 7 Existing Bldg._ <br /> Update/New Fire rvice Yes_ No /Existing Bldg. <br /> Approved by: Date: 2,-a-° 7 <br /> Comments: <br />