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0 FOR OFFICE USE ONLY PERMIT# ,17`(' 0 m <br /> BUILDING PLANNING <br /> Bldg/TIJAddn/Rem Sizp // XV ��" Zoning Classification — <br /> Garage Size a/✓4 Overlay/Agreement <br /> VALUATION "9Z,O'i'DD Nonresidential Use <br /> Number of Stories .Z Residential Use <br /> Occupancy Group g, S-I Proposed No. of Dwelling Units: <br /> Occupant Load 73 6 Total No. of Dwelling Units: <br /> Basement No_ Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V/3 needed before final? Yes No <br /> Existing Sprinkler System? Yes?` No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes/0\ No Phone#: <br /> Reason Approved by: Date: (6 <br /> (2‘((i- <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 School 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 pri to final?Yes No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: �� School Impact Fee Credit: <br /> Structural Approved By/Date: -c-✓/1.' //Ai/j ,J Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by ll t t by: Ok to route /` Hold _ <br /> : � l" Intake OK <br /> Make this a" " ermit? Ye No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: ),_ Date: ///�Z. <br /> Plan Check Fee Comments /4.L e r� /IQ —�() lu_),.-, <br /> Building Permit --/0 iZ-c L.9`P c 17� l� 0 <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 ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee Public Works Permit-Concurrent Review(separate gre n fol er) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:E, Date: <br /> Water Fee 'PW Permit Approved- PW (T(("0V1 <br /> Sewer Fee ta/See PW Review Worksheet-in iS ' fdEEf_L-4 t7o' al <br /> Systems Dev. Fee El PW Permit Not Required 4 `4 l <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: G-1 8-t b <br /> Comments: fl ,,.) e,..> <br /> s4-4e,- ,Q 5?('IA 4 14L vL R. ..5 Sszc 6 J 4 <br />