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FOR OFFICE USE ONLY PERMIT# E\P-A-0S— (:) .S <br /> 11 <br /> BUILDING PLANNING <br /> I/Addn/Rem Size /7T-9 ., Zoning ClassificationVN.- <br /> Garage Size %/ /1 72 .5:4' Overlay/Agreement <br /> VALUATION 42-74// 13#6.7 Nonresidential Use W-e_x <br /> Number of Stories . Residential Use ' V ? <br /> Occupancy Group g/t/ Proposed No. of Dwelling Units: Q`\{ <br /> Occupant Load Total No.of Dwelling Units: 0 <br /> Basement No X., Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction -trneeded before final? Yes_ No— <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: tton // <br /> Reason Approved b'!'4 ' Date: ii/r1//7 <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Appro f-d by: " — Date: `—" <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes Y. No_ <br /> Reason Everett School Dist X Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No #of Net New Units: (,2,,,ne <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No_ Calculated School Impact Fee: 't* Sj Z3O,cc <br /> Architectural Approved: Date ? School Impact Fee Credit: <br /> Structural Approved: Date: Total School Impact Fee Owed: J,I. 0,0U' <br /> Comments: Zoic /n6 iii,ls`Ce Comments:BL,p,r 0— ()OLD <br /> Intake OK by: <br /> Intake OK by: tcjilt' Date: 3/221/7 <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: 3 Date: 3.2 2 -/ 7 <br /> Plan Check Fee Comments: V Dke<<r,Ga Repo-+S <br /> Building Permit ✓ Copus O'F PLah S <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 ErPublic Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 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: i' <br /> t; <br /> Ate____.. <br />