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FOR OFFICE USE ONLY PERMIT# C/I-7Da-OO' <br /> BUILDING PLANNING <br /> I/Addn/Rem Size 3Se3 S-dc. Zoning Classification c2..- S <br /> Garage Size 41-55 S, Overlay/Agreement ____- <br /> VALUATION 44 6l i 6 a1 Nonresidential Use ___ <br /> Number of Stories 2._ Residential Use S c <br /> Occupancy Group I2./,c Proposed No.of Dwelling Units: CA e <br /> Occupant Load Total No. of Dwelling Units: QNZ <br /> Basement No +' Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes I No_ <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: Qt,Ce 'O\\af^Z\ <br /> Fire Sprinkler Required Yes No_ Phone#: 42s ZS , Ii•yd`-A. <br /> Reason Approved by: Date: 5-/ 1-/OC l`4 <br /> Existing 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 Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes No_ #of Net New Units: 0,y\Q <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No_ Calculated School Impact Fee: ' 1—I2--A-5-O® <br /> 1 <br /> Architectural Approved: Dater'/EA-7 School Impact Fee Credit: — <br /> Structural Approved: Date: ! Total School Impact Fee Owed: '?y El-5 OC' <br /> Comments: 20/S (/G ft Ws-&.c.__ Comments: pkOty: wvorA iSePts, tstwiNaay Os 44\14. <br /> eAsegv,eA iso.& is 2.c.) <br /> 1260SVAJS APP 5,/i9//7 le s\=\\ WA \Q\ c ccs -v Mi ; <br /> Intake OKbyl& <br /> Intake OK by: Date:2_4?/(7 <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: KB Date: Z-$-/ 7 <br /> Plan Check Fee Comments: <br /> Building Permit Okay 40 -f etke. / h. <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 121 Public Works Permit-Concurrent Review(separat: gre•n folder) <br /> Ping Bldg Review Feeyy PW REVIEW: PW Reviewer: HR Date: / <br /> Water Fee L QI 111(o C p'(}?' PW Permit Approved PW 110L-01-11 <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 7 Existing Bldg. <br /> Update/New Chemical Yes_ No 7,,Existing Bldg._ <br /> Update/New Fi e Se ice Yes_ No Existing Bldg. <br /> Approved : Date: �j=2 Z- 7 <br /> dl <br /> Comm <br />