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FOR OFFICE USE ONLY PERMIT# V f 0 ( G7o� <br /> BUILDING_ : '; PLANNING <br /> Bldg/TI/Addn/Rem Size '9 2Cn _5:r- Zoning Classification _1-. <br /> Garage Size 9 Z© 5: Overlay/Agreement <br /> VALUATION 40-7t 2 3ca Nonresidential Use &IA <br /> Number of Stories 2. Residential Use 6,4-ex <br /> Occupancy Group P-/ Gt Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: - Q <br /> Basement No Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes l( No <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: COC t ctc. 4 <br /> Fire Sprinkler Required Yes No_ Phone#: kt6, 'L (}- <br /> Reason Approved by:� �---) Date: `0(1-1-I ZCOC-Ar <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: t' 1 P\ Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes ', No <br /> Reason Everett School Dist X Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No_ #of Net New Units: ©4\e, <br /> Add'i RCW 64.55 docs required prior to final?Yes_ No Calculated School Impact Fee: *(p,1-‘620.00 ,,(' i kAAN-s <br /> Architectural Approved By/Date: {3/(. p,//...?- School Impact Fee Credit: \ jm'C <br /> Structural Approved By/Date: Total School Impact Fee Owed: 3,2S0,(-n <br /> Comments: zo /s //2L 1, bus4gc Comments: <br /> Intake OK by: Intake OK by: �[, Ok to route C5v Hold <br /> Make this a"W" Permit? Yes No <br /> PUB IC WORKS <br /> INTAKE: Checked B 6 <br /> FEES ` Y�_• i�� � Date: �,- <br /> 01 <br /> Plan Check Fee Comments: ► , + i � 's -'" 7 T" "` <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 0Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: /ell' Date: //-6 "/7 <br /> Water Fee ,'PW Permit Approved-PW <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 I 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 F4li Service es No / Existing Bldg._ <br /> Approved by;. A-. I Date:0-36-I, <br /> Comments. <br />