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-lib <br /> FOR OFFICE USE ONLY PERMIT# 11 01-f2A <br /> BUILDING PLANNING .�. <br /> Bldg T�I 4ddn/Rem Size a&. CC ll#i Zoning Classification Kc'S <br /> Garage Size Overlay/Agreement <br /> VALUATION /0)00e Nonresidential Use ce_ \ k\Q.r <br /> Number of Stories I Residential Use <br /> Occupancy Group 105 Proposed No. of Dwelling Units: <br /> Occupant Load zi 9 Total No. of Dwelling Units: <br /> Basement NobYes_ Fin / Unfin Landscape or Planning Inspection , <br /> Type of Construction V— 5needed before final? Yes No <br /> Existing Sprinkler System? Yes_ No_UnP4 Planning Inspector: <br /> Fire Sprinkler Required Yes_ No `` Phone#: <br /> Reason (Jks & 5 4Frit P/1 Approved by: (------7 `---? Date: "1-/(Li 120 t`'-A- <br /> Existing Fire Alarm Yes No—Unk?S Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes_ No <br /> Reason (/flys 471 " Everett School Dist Mukilteo - ool 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 F•e: <br /> Architectural Approved By/Date:Z.,L�-" /1 51.e 17 School Impact Fee Cre.' : <br /> Structural Approved By/Date: 1 i ,52 Poi> Total School Impact F-e Owed: <br /> Comments: Comments: s <br /> Intake OK by:_ Intake OK by: Ok to route Hold <br /> Make this a"W" Permit? Yes No <br /> PU LIC�W.ORKS . <br /> FEES !� INTAKE: Checked By. ��e�il�Z/� Date, 7/d Yf 2017- <br /> Plan Check Fee Comments: OUfl er�clff G eV� <br /> 't—Sys'etvi bA-G�-/h- <br /> Building Permit `f'e � 4r R Os pz a//S4dfa t r. <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-R view for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 14! 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: X/43 Date: c5"--//-17 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet Z/4,- ,"L;ke £1J(. <br /> Systems Dev. Fee .14 PW Permit Not Required •1' A/D Syr. Dev.lie dye.. <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 /> / nPl <br /> 4.,..d t / <br />