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FOR OFFICE USE ONLY PERMIT# C \ 3 —0(3 <br /> pu.) 1703 -n3(, <br /> BUILDING PLANNING <br /> "I/Addn/Rem Size 2SO.5 ..c1 Zoning Classification -Pc- <br /> Garage <br /> AcGarage Size 4/'9 .s; Overlay/Agreement <br /> VALUATION 3C)// !�� Nonresidential Use <br /> Number of Stories a Residential Use <br /> Occupancy Group //K Proposed No. of Dwelling Units: 1 <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No X.Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction _ • V 13 needed before final? �,�Y�e�s�1/ No— <br /> Existing Sprinkler System? Yes No Unk Planning InspectorG �l�,. Com'-'-v O 0 Alto <br /> Fire Sprinkler Required Yes_ No_ Phone#: 11 2. -- 2,,�> - - `'o• IP <br /> �C /i — <br /> Existing <br /> Reason Approved bDate: ` J Fire Alarm Yes_ No_Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes ‘..,"----No_ <br /> Reason Everett School Dist iMukilteo 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: (pi 90,00 <br /> Architectural Approved: & Dat934'7 School Impact Fee Credit: <br /> Structural Approved: Date: Total School Impact Fee Owed: (01 CI SO •b'° <br /> Comments: )6141I- <br /> �_ Comments: V� �v�l�- - <br /> On-1J --tee <br /> j ( <br /> iin, 14�` lv�rs_�;e ( rob a Per <br /> ---k.e. <br /> take OK ►`1 IV `PrW`c'` <br /> Intake OK blj.✓ Date: r `k <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: ,��BDate: 2 0 <br /> Plan Check Fee Comments: <0 0000 1f' . w • <br /> - <br /> Building Permit ',e2 , drop ova-(r/66/ -- t,ct O4rac,.e0) <br /> Surcharge High Hazard Sites(Dental,Medical,Animals, Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Wor 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(separatereen folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Hg Date: 6^/Y"'/ 7 <br /> Water Fee ,'PW Permit Approved- PW ("?0 3-O <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 FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes_ No / Existing Bldg._ <br /> Update/New Detection Yes_ Noi Existing Bldg. <br /> 7 <br /> Update/New Chemical Yes_ No E2<isting Bldg._ <br /> Update/New Fire ervi e Yes_ No Existing Bldg. <br /> Approved by: a e: 6,_((6-(7 <br /> Comments: <br /> (/4) <br />