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'06. t FOR OFFICE USE ONLY PERMIT#?Jt 64 C(-1.0 <br /> . . , :;BUILDING..• ,` .PLANNING „ <br /> Bldg/TI/Addn/ em Size ( U 4S E ZoningClassification .— I <br /> Garage Size `` Overlay/Agreement <br /> VALUATION g 3 C, oDb Nonresidential Use 741t-I L- <br /> Number of Stories I Residential Use <br /> Occupancy Group An / f-Z Proposed No. of Dwelling Units: — <br /> Occupant Load atp Total No. of Dwelling Units: <br /> Basement No K Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction J 6 needed before final?-_ Yes_ No ‘..------i <br /> Existing Sprinkler System? Yes No )1 Unk Planning Inspector: --a <br /> Fire Sprinkler Required Yes_ No x Phone#:�-" <br /> Reason CY IS1Wty Approved t,4.7 I Date: /4/2 ''- -l'- <br /> c <br /> Existing Fire Alarm Yes_ No la Unk_ Historic Approved by: Date: --- <br /> Fire <br /> Fire Alarm Required Yes Nola School Mitigation Reqd? Yes No <br /> Reason c- (Silk, Everett School Dist Mukilt-. "chool Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ Nor #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No_ Calculated Sc •. mpact Fee: <br /> Architectural Approved By/Date: iM 1A- 22/(1 Schoo pact Fee Credit: <br /> Structural Approved By/Date: kms/ � 1 0.. Total School Impact Fee Owed: <br /> Comments: ! Comments: 5ft zjig - yrmijt"v4 <br /> CADUAA7t) 6y1( p.m <br /> Intake OK by: r ` j' 4/ f Intake OK by: Ok to roue _ Hold _ <br /> Make this a"W"`Permit? Yes No <br /> F=EES , . ` H .. . INTAKE: Checked By: Date. 11-2 el-?J/ 7Plan Check Fee Comments: i ,9�" ZCrcive.. ,� f 90 i/SFS <br /> Building Permit i(; 71qtr . <br /> Surcharge High Hazzard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ -ublic Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee !=� Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurren Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: 44r Date: S-9j-‘',$R <br /> Water Fee 0 PW Permit Approved- PW <br /> Sewer Fee 0 See PReview Worksheet <br /> Systems Dev. Fee /Permit Not Required e'7114 _Dig ArfinYtid <br /> Traffic Mitigation Fee <br /> Public Works Fee ,, FIRtE;DEPARTMENT .. .„ <br /> School Mitigation Fee Update/New Sprinklers Yes_ No Existing.Bldg. 7' . <br /> Update/New Detection Yes_ No Existing Bldg. / <br /> Update/New Chemical Yes No 7 Existing Bldg. 7 <br /> Update/New Fir env' e Yes_ No ,"Existing Bldg. / <br /> Approved by: Date: 5 2.'N > <br /> Comments: <br />