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FOR OFFICE USE ONLY PERMIT# G I-1 oR-so ( <br /> BUILDING`' �` �i` PLANNING .'.,. <br /> Bldg/TI/Addn/Rem Size 392.6, F.. Zoning Classification CC, L <br /> Garage Size 9,2_© Sr Overlay/Agreement I— <br /> VALUATION J c3 7 Zoe Nonresidential Use A A <br /> Number of Stories 7 Residential Use eU , ' <br /> Occupancy Group 2-A4 Proposed No. of Dwelling Units: 1--- <br /> Occupant Load Total No.of Dwelling Units: \ b <br /> Basement No_V Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes`)( `No ��\\ <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: CQ\Ce i')&0t(`0 <br /> Fire Sprinkler Required Yes No Phone#: i . Z55-• Ml- <br /> Reason <br /> q _ — �, <br /> Reason Approved by: z -' Date: ‘d 121- I2-0 7-4- <br /> Existing Fire Alarm Yes_ No—Unk_ Historic Approved by: Il 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 prior to final?Yes_ No Calculated School Impact Fee: 4.3,"� QJ 00 i '� <br /> Architectural Approved By/Date: - jo/J $l/7- School Impact Fee Credit: N I A <br /> Structural Approved By/Date: Total School Impact Fee Owed: a 0))1--1070.®© <br /> Comments: 2_0 /5-- l c EIL W cvsc. Comments: <br /> CAP <br /> Intake OK by: CI--111" Intake OK by: 'v i4 Ok to route p Hold <br /> Make this a"W" Permit? Yes No <br /> PU=LIC WORKS <br /> FEES INTAKE: Checked B : .i 4 Date: -('ZZOi4- <br /> Plan Check Fee Comments: �� <br /> Building Permit <br /> 4 �. su, l am. <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 %Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: /4/9 Date: //-4 i'7 <br /> Water Fee PW Permit Approved-PW <br /> Sewer Fee 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 Fi Service) ,Yes_ No /Existing Bldg. <br /> Approved by: L( — Date: 10-3o--/, <br /> Comments: <br /> Z/ <br />