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FOR OFFICE USE ONLY PERMIT# �1 -00(c, <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification \ <br /> Garage Size 6361 _C- Overlay/Agreement <br /> VALUATION 2 at 8 O Nonresidential Use <br /> Number of Stories f Residential Use '-' --; . <br /> Occupancy Group (11 Proposed No. of Dwelling Units: ,.._______ <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No_,( Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction �/ 6 needed before final? Yes No X <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: .---- p+ <br /> Reason Approved by: Date: 1 ( ( D 1 . 01.---4-- <br /> Existing <br /> 01 -Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: Date: "- <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes No X <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 prior to final?Yes No_ Calculated School Impact Fee: <br /> Architectural Approved: c. ' Date//?//7 School Impact Fee Credit: -- ' <br /> Structural Approved: Date: Total School Impact Fee Owed: '— <br /> Comments: Comments: Q�.\11Z«-e°\ Co`1 ► � rwn) <br /> �0/6 /2G 4dorc\ acre soAs. <br /> N ,,��ss‘ e Orb <br /> •A�\\ o yr so <br /> ie CVL s KWIC z cenav�. <br /> gee ash <br /> �`l Int <br /> ref OK by <br /> Intake OK by: .)k.(. Date: ' '"G-A <br /> i z v\'T(R..m,Uvt`./LCo P_ ORKS <br /> FEES INTAKE: Checked By: Date: 24, <br /> Plan Check Fee Corn ents: 1t pe/L46 Gild RE:at H-00l <br /> e 1 , 7i5 * . , <: — PaVP let. C071(47.24C- 76 ctie <br /> Building Permit 00, / , , pe-e 2 - <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 al 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: y7 ,,..11 Date: "" <br /> Water Fee 'A PW Permit Approved-PW y Vl/ 1169-, OD(O <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <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: <br /> Comments: <br />