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FOR OFFICE USE ONLY PERMIT# <br /> W I 1110 �V0`F <br /> O wr1 � xrr� 3WI". Y+ , � K � � '� Ptsa �3 <br /> i %1r � > , a g, t "4480va k3t zw- <br /> Bldg/TI/Addn/Rem Size Zoning Classification ? <br /> Garage Size Overlay/Agreement <br /> VALUATION Zo ("on Nonresidential Use ,/� <br /> Number of Stories 2-, Residential Use (,,.k-o.O(I l scI _. <br /> Occupancy Group Proposed No.of Dwelling Units: --- <br /> Occupant Load Total No.of Dwelling Units: 1 <br /> Basement No YesX Fin / Landscape or Planning Inspection <br /> Type of Construction =-S 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: V, ik Date: 14.ICI-!s) <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 /> Addl RCW 64.55 docs required dor to final?Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved: Date:s/23/17 School Impact Fee Credit: <br /> Structural Approved: Date: Total School Impact Fee Owed: <br /> Comments: laic-- /A iig Losec. Comments: ,r- N6ncav^ ^'`:� 45 <br /> tro4cd ag e041- Qf- 3 f+, <br /> ,K keret f <br /> Intake OK by: j n ((%a,p '^'J Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes_ No_ <br /> awt:SVisvq'.4, Oar •.. tti ntk <br /> � �i <br /> t e <br /> ,•AlltfCel: t 1 INTAKE: Checked By:._4 L:1-- Date: qM-20l <br /> Plan <br /> Check Fee Comments: h3 ve avy_ wok` <br /> Building Permit 440.1seil rt.froatlivE, mW {or ipgvl`ng^'1150OSF <br /> Surcharge High Hazard Sites(Dental,Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ftPublic Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee gt 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 PPWt REVIEW: PW Reviewer Date: i(-��'2t7' <br /> Water Fee wt PW Permit Approved-PW r oS-0gO in flits/Vi - <br /> Sewer Fee 0 See PW Review Worksheet,IA <br /> Systems Dev. Fee PKPW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee 'i 110tar0. 07 <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 />