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FOR OFFICE USE ONLY PERMIT#17I1-1)6' -0 5-4- <br /> BUILDING PLANNING <br /> `. I-fl/Addn/Rem Size 3) ftgQ 0 Zoning Classification h'(,Q <br /> Garage Size -- Overlay/Agreement <br /> VALUATION 46 7i 1760 Nonresidential Use 1ft&Z5 e ;` <br /> Number of Stories ! Residential Use <br /> Occupancy Group 713 04V Proposed No. of Dwelling Units: <br /> Occupant Load )7b * Total No. of Dwelling Units: <br />' Basement No‘ Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V— 13 needed before final? Yes )( No <br /> Existing Sprinkler System? Yes_ Nol Unk_ Planning Inspector: ' (VCb\\O a <br /> Fire Sprinkler Required Yes No Phone#: 'L Jam. i •Y <br /> p q "CZ <br /> Reason < Ca:Xi liP Ca: Approved by: ��---) Date: . ?-(2.'S/r- <br /> Existing Fire Alarm Yes No-d Unk_ Historic Approved by: Date:/ <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes_ No 1� <br /> Reason ,3 4h 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: <br /> Architectural Approved By/Date: L Zr Tymoi 7 School Impact Fee Credit: <br /> Structural Approved By/Date: eller7 i ./ Leo/tom- Total School Impact Fee Owed: <br /> Comment 4 Comments: (je,l ,1.0Oi� ,D,„ �t-)_dc <br /> 5/-1 .1. icy raw”" 1 S rL <br /> ,:,tom 0 i Of Vim` <br /> Intake OK by: \41.1‘ c2f e f L'r Intake OK by: k.,14-- Ok to route _ ' Hold x <br /> Make this a"W"C ermit? Yes_ No_ <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: W15 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 ,Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee 0 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 FIR.DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes_ No A Existing Bldg._ <br /> Update/New Detection Yes A No_ Existing Bldg._ <br /> Update/New Chemical Yes_ No 1( Existing Bldg._ <br /> Update/New Fire Servi e Yes No ,( Existing Bldg. <br /> Approved by: SG, '' /tom Date: 10/(9/5 <br /> 13,,ts <br /> Comments: 50 r G.4S r&,_� S cif % <br />