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FOR OFFICE USE ONLY PERMIT# J 11 001 <br /> BUILDING PLANNING <br /> Bldg/TI/Addy er�RrDSize �--� � Zoning Classification )12. '_ <br /> fgriterge Size JDZ K ' 14 $ Overlay/Agreement <br /> VALUATION :-/ 4' 3- Nonresidential,Use <br /> Number of Stories 2.. Residential Use <br /> Occupancy Group R/14 Proposed No.of Dwelling Units: ----- <br /> Occupant Load Total No.of Dwelling Units: --"-' <br /> Basement No_2( Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No t� <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason Approv-• 14 1` Date: <br /> Existing Fire Alarm Yes_ No_Unk Historic Approved by: Date: tt <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes No_ <br /> Reason Everett School Dist Mukilteo Schoo !' <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No_ #of Net New Units: <br /> Add!RCW 64.55 docs required prior to final?Yes_ No_ Calculated School I •=-ct Fee: <br /> Architectural Approved By/Date: (M CifZ%3_. School I •- Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee <br /> �Owed: <br /> Comments: Comments: CGW[� ApA) 20 192 O5� <br /> Intake OK by: Ftiv° l-Ar d7M 7� '1 Q 4(i' Intake OK by: Ok to route _ Hold <br /> Make this a"W"Permit? Yes No <br /> P :.BL C WORKS <br /> FEESINTAKE: Checked By: Date: <br /> .. ' .. , <br /> Plan Check Fee Comments: WO R S' 3cry-- Cerite n��. <br /> Building Permit C <br /> Surcharge ,Hiig/h Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 151 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurre Review(separate gr-en f'lder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer Date: $ ° <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 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_ 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: 17 <br />