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FOR OFFICE USE ONLY II PERMIT#&'40-4 ---n31 <br /> ,� ti # may.t 'ri`am w z a- ate.�;, ".� Y� �r 1-z*'„,) % £ 4r 44r a. s`T� �; . .°u*-.�'.�iyq'tr3 z� 5...` ,'�'" 4.z 3 S`zj a �,> <br /> ._____ <br /> S T4'[x., ,: N;,e 3'# BU1LDl 3.v+fi �h b 4 3 B i' < 'g ..5{+"t EF,t, �S Y.- �y C F t ,N �' \A I.:1`.. .�. '' .S,. <br /> ....:'_s»..............:...°;�.,.,,..� o,..._, ., ...,�^��,.....cr �..�.:� ..,.�:�`:_ e,?�::. 7,k<.�s.�r.,a.:.a..�S�.,..a, ,w.3:4�,":x,.s�..�.3���� „..Yn:..�. .�...� ,.e. t-:-;: <br /> Bld /TI Addn/Rem Size 2-4009 Zoning Classification E 1 <br /> Garage Size Overlay/Agreement lk.AV 0 <br /> VALUATION Z-w 0 Nonresidential Use Pr ty'\-- '�. <br /> Number of Stories I Residential Use <br /> Occupancy Group 0 Proposed No.of Dwelling Units: <br /> Occupant Load 0--? Total No.of Dwelling Units: <br /> Basement No X. Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V Q needed before final? Yes No_ <br /> Existing Sprinkler System? Yes)( No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason AJ lS IWO Approved bye'' Date: 1--}/ !1'q"--- <br /> Existing Fire Alarm Yes )0 No_Unk Historic Approved by: Date: {` <br /> Fire Alarm Required Yes' No_ School Mitigation Reqd? Yes_ No_ <br /> Reason 1 SI JN f Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ N_ #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved:Ptc' (Atfi - 5M? School Impact Fee Credit: <br /> Structural Approved: jVof til--Li_*O Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: A 4 11-- Intake OK by: Ok to route Hold _ <br /> Make this a"W%•ermit? Yes_ No <br /> :l a lani E��h#�ay�Catir.�smxy�.■a./���.®{.(a�c�:���,�.y^�uxrv"s¢+�c�v��.�R��,tt{N�z``tiM <br /> �'"%s�;.+�`"' <br /> `' m a.% " am` tr INTAKE: Checked By: Date: <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 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 0 Public Works Permit-Concurren Review(separate gr-en 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 ErPW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee � �IMINSIFIRMMOV NO <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 Se ice Yes No /Existing Bldg.— <br /> _ <br /> Approved by: Date: 5-----t---1? <br /> _ <br /> Comments: <br /> - <br /> 2- <br />