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01V IrS Qp _ <br /> FOR OFFICE USE ONLY PERMIT# b1117-OO IJ <br /> E UILDING <br /> Bldg/TI/Addn/Rem Size c9- 7010 Zoning Classification g,-14 <br /> Garage Size I,, t U p( Overlay/Agreement Ci <br /> VALUATION 37y 080 0 Nonresidential Use <br /> Number of Stories - Residential Use 1y101A1— 61113 <br /> Occupancy Group /2-3 7 0 Proposed No.of Dwelling Units: Z <br /> Occupant Load /6 Total No. of Dwelling Units: li <br /> Basement No Z5' Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V — g needed before final? Yes )C No <br /> Existing Sprinkler System? Yes' No_Unk_ Planning Inspector: PV2, 1d <br /> Fire Sprinkler Required Yes' No_ / 3 P Phone#: 0,5"-z51.- 12,,79 uu <br /> Reason a-13 C- Approved by: ' ,„,.10,,,-1 Date: I— 12,-14 <br /> Existing Fire Alarm Yes No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes? Noar .413Z School Mitigation Reqd? Yes X No <br /> Reason ALJ Everett School Dist X Mukilteo School Dist _ <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No ZjP #of Net New Units: Z <br /> Add'I RCW 64.55 docs required prior to final?Yes No� Calculated School Impact Fee:$ G L.!&O <br /> Architectural Approved By/Date:Z_,mF �/ //' School Impact Fee Credit: <br /> Structural Approved By/Date: re.,`Q.,L/i1?> Total School Impact Fee Owed: („q to <br /> Comments: Comments: <br /> y may' <br /> Intake OK by: t(/ <br /> Intake OK by:j . Ok to route X HoldMake this a"W" P it? es No <br /> PUBLIC WORKS . <br /> FEESINTAKE: Checked By: ." Date: l4/�1 701 <br /> Plan Check Fee Comments: kw& 7&' PA) (,f�dYkSA.f�7, , a vd . <br /> Building Permit - eU't 4 phi kAy f-FARiArd C'bn.d ✓z€, <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 /> R( <br /> Plumbing Fee Ill Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee <br /> Public 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 ❑ PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE;'DEPARTMENT, <br /> School Mitigation Fee Update/New Sprinklers Yes �o— Existing Bldg._ <br /> Update/New Detection Yes— No ," Existing Bldg. <br /> Update/New Chemical Yes No 'Existing Bldg._ <br /> Update/New Fire ervice Yes No_ Existing Bldg._ <br /> Approved by: L ` Date: 2...---6-1 <br /> Comments: <br /> c�G.� vt.,neSk I a D 5?--,..>K\ex, <br />