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5014 23RD AVE W 2018-05-04
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5014 23RD AVE W 2018-05-04
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Last modified
5/4/2018 3:56:51 PM
Creation date
5/2/2018 9:18:02 AM
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Address Document
Street Name
23RD AVE W
Street Number
5014
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I FOR OFFICE USE ONLY PERMIT# 'b OZ" � <br /> ' BUILDING ' �. PLAhININC ; <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size S� � Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories � Residential Use �j <br /> Occupancy Group � Proposed No.of Dweiling Units: -- <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 Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: � Date: 2� �) <br /> l <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 Schooi Dist <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 Impact Fee: <br /> Architectural Approved By/Date: � Z %� School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: �0��-- /2C Comments: <br /> Intake OK by: Intake OK by: K�� Ok to route Hold � <br /> Make this a"W" Permit? Yes No <br /> ' PU�LIC WORKS , ` ' ; <br /> ��E� , INTAKE: Checked By: Date: <br /> _ _ _. <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: Date: <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee IJ PW Permit Not Required Z ZOI� <br /> Traffic Mitigation Fee <br /> Public Works Fee `: FIRE DEPARTM�NT . ; <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 /> �v <br />
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