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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# hn0 5-1D(15 <br /> BUILDING PLANNING _ _ " <br /> Bldg/TI/Addn/ m Siz 3O ?GCS Zoning Classification F- 1 <br /> Garage Size — Overlay/Agreement <br /> VALUATION al 7011 4-I 0 Nonresidential UseO1 (,C /CL..L.A. I') t <br /> Number of Stories 3 Residential Use <br /> Occupancy Group (3 Proposed No.of Dwelling Units: ..---._ <br /> Occupant Load 30 O Total No.of Dwelling Units: <br /> Basement No_ Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction j_3 needed before final? Yes ,L/ No <br /> Existing Sprinkler System? Yes )4 No_Unk_ Planning Inspector: a Gfo4LC <br /> Fire Sprinkler Required Yes X No_ Phone#: j"-' S 1 — -3` (3 <br /> Reason Pff e 13 Approved bN9IfX Date: i /, - <br /> Existing Fire Alarm Yes X No_Unk_ Historic Approved by: Date: ` <br /> Fire Alarm Required Yes )C No_ School Mitigation Reqd? Yes_ No_ <br /> Reason P,.OJI SI tj,rfS Everett School Dist Mukilteo Sc •_ •ist <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 Calculated School I ,=-ct Fee: <br /> Architectural Approved By/Date: l / g /J1 School Im•- ee Credit: <br /> Structural Approved By/Date: g> icy I - Ti. chool Impact Fee Owed: <br /> Comments: Comments: g ' Ii r-R--013 <br /> Intake OK by: f` Intake OK Ok to route 1../". <br /> Hold _ <br /> Make this a"W" Permit? Yes No <br /> PUBLIC"WORKS <br /> 1 <br /> INTAKE: Checked B . J Date �9 <br /> EES_. ��/ SiLnl d <br /> Plan Check Fee Comments: Jit _ E, 2 <br /> Building Permit � - ` � gdiSsT#5 7Z <br /> Offrt.E - ?89/s1 rat, s " <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for PBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED 3 <br /> Plumbing Fee NI Route for Public Works Review(bldg folder, PW Worksheet) Z <br /> Mechanical Fee (separate greenfolder) , <br /> 0Public Works Permit-Concurrent Review�tse arate <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer; ;T Date: --4-(28/Zeta" <br /> Water Fee g'PW Permit Approved-PW 11-0 6-oil- <br /> Sewer Fee IZrSee PW Review Worksheet ace 6gEeJ g5LDEK <br /> Systems Dev. Fee 0 PW Permit Not Required 4 -r al arm4 '• <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 />
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