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4201 RUCKER AVE COMMUNITY HEALTH CENTER 2019-04-10
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4201 RUCKER AVE COMMUNITY HEALTH CENTER 2019-04-10
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Last modified
4/10/2019 9:26:24 AM
Creation date
3/27/2018 12:05:11 PM
Metadata
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Template:
Address Document
Street Name
RUCKER AVE
Street Number
4201
Tenant Name
COMMUNITY HEALTH CENTER
Notes
GEOTECHNICAL REPORT INCLUDED
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FOR OFFICE USE ONLY PERMIT# S(R"ap-o3 <br /> '.BUILCINC <br /> PLANNING <br /> Bldg/Tl/Addn/Rem Size Zoning Classification ii <br /> 1 <br /> Garage Size Overlay/Agreement CAZ4 <br /> ( <br /> VALUATION �'=\-a, doa Nonresidential Use c-/U <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: ----- <br /> Occupant <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 Link_ Planning Inspector: '1 <br /> Fire Sprinkler Required Yes_ No_ Phone#: I <br /> Reason Approved b - "V Date: –7 /2 /, <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes_ No ,--------1' <br /> Reason Everett School Dist Mukilteo Sct l <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_ No_ CalculatedIlbl mpact Fee: <br /> Architectural Approved By/Date: JO? E1ce01/41Le ( A Sch Impact Fee Credit: <br /> Structural Approved By/Date: 4o/14-- Total School Impact Fee Owed: <br /> Comments: Comments: 4v1:0_3.... — 013 <br /> Intake OK by: ' ..°/(?/11". Intake OK by: Ok to route Hold _ <br /> Make this a"W" A•rmit? Yes No '--'��7 <br /> P, BLIC WORKS <br /> INTAKE: Checked B ._ <br /> FEES Y� I.,` _ 4 Date: <br /> Comments: i , . / <br /> iV <br /> Plan Check Fee P��� <br /> no pa./ pernnif /" Puirsot •i r.e <br /> Building Permit ji1iS Avnda Ivo b � ff k8 <br /> Surcharge High Hazard Sit s(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 14 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee ' REVIEW: PW Reviewer: Date: <br /> Water Fee ❑ P '1. it Approved- <br /> Sewer Fee 0 See PW Rew-.. -4 orksheet SEE mat) B11)6 /0& 1111 <br /> Systems Dev. Fee ElPW P- it Not Require. 4r back She.E,'-S n of- <br /> Traffic <br /> Ol)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 /> (--12) <br />
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