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FOR OFFICE USE ONLY PERMIT# ,q-o` -0C$ <br /> BUILDING. <br /> Bldg/TI/Addn/ em Size -7 1-4k-'t Zoning Classification — ( 1 AVU <br /> Garage Size Overlay/Agreement <br /> VALUATION 43 5-00 Nonresidential Use L <br /> Number of Stories k Residential Use <br /> Occupancy Group M/c- i Proposed No. of Dwelling Units: ------'' <br /> Occupant Load Q33- Total No.of Dwelling Units: <br /> Basement No)4 Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction U()) needed before final? Yes_ No t.------- <br /> Existing Sprinkler System? Yes_ No Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No) Phone#: <br /> Reason JO 1 r 'LW O Z't 4" /S Approved .' ill Date:>C1b[(' 2 <br /> 1 1 <br /> Existing Fire Alarm Yes—MNo Unk— Historic Approved by: Date: l <br /> Fire Alarm Required Yes? No School Mitigation Reqd? Yes_ No <br /> Reason Ota-D / .f Everett School Dist Mukil -- - 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 ool Impact Fee: <br /> Architectural Approved By/Date: /V\ 4>f'L 'S/ ."(L 1 S •.ol Impact Fee Credit: <br /> Structural Approved By/Date: ,,t. Total School Impact Fee Owed:2' �.�{ <br /> Comments: ic6 •-yeAlca-uo-oit- ': �'p Co:ments:� in • J`�c 1--al `L t ' <br /> t0/1. • II pec ,qua ‘,v,..0 i AND <br /> Intake OK by: S/23 I� Intake OK ,0":"LI►'�A Ok t• route Hold _ <br /> Make this ab <br /> "W" ermit? Yes No <br /> s ..,- — <br /> PUBLIC WORKS, <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <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 0 Public Works Permit-Concurre t R view(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: —23—\ <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee pee PW Review Worksheet <br /> Systems Dev. Fee PW Permit Not Required 0 CM <br /> Traffic Mitigation Fee ( - ,toi • k 6 <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 Se ice Yes— No— Existing Bldg. <br /> Approved by: Ilk Date:677//�'-`, <br /> Comments: <br />