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FOR OFFICE USE ONLY PERMIT# b!1 to'-b34 <br /> BUILDINGPLANNINE <br /> G�' . .`. . .. <br /> Bldg/TI/Addn/Rem Size 88006P Zoning Classification (S MU\ <br /> Garage Size Overlay/Agreement <br /> VALUATION (it SD)0ge> Nonresidential Use fefSO \ Se cy Ces o ce <br /> Number of Stories 1 Residerrtiel-1 se• \'� ei,c -\..Nc�, Sv1sa'c),(��Ce'/1 , <br /> Occupancy Group 3 Proposed No.of Dwelling Units: <br /> Occupant Load gi'2" Total No.of Dwelling Units: <br /> Basement No" Yes ; Fin I Unfin Landscape or Planning Inspection <br /> Type of Construction V-"15 needed before final? Yes_ No X <br /> Existing Sprinkler System? YesNo_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yesi No_ Phone#: <br /> /3— <br /> Reason Approved • Date: ( l <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: -- Date: <br /> Fire Alarm Required .-25Yes No_ School Mitigation Reqd? Yes No <br /> ReasonEverett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No----01 <br /> #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to 'nal?Yes_ No 21 Calculated School Impact Fee: <br /> Architectural Approved By/Date: ":7-0.2,/"17 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: t�! I e-�I Intake OK by: Ok to route Hold _ <br /> Make this a"Veit? Yes No <br /> PUBLIC.WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments:P,e'ev, vJ use 15 fanninj $ediS -/-Lgv^d`y' <br /> Building Permit Pi-oposed use 5" 0 ;CeS <br /> no JyriemcievTee' leg <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 0 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 ►1' 'W Permit Not Required Ara ` /,4' '� <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 Fir Service Yes NoZ . Existing Bldg. <br /> Approved by: "_ ... Date: fG 0 --0 <br /> .)Comments• <br /> pLVI-JS c` 'Fro 0lCcP`Wt�Sp dsaJ‘<_ P Nr- reef <br />