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` FOR OFFICE USE ONLY PERMIT# a i 7- O93 <br /> Miff <br /> BUILDING PLANNING <br /> /TI/ <br /> r 3 <br /> Bld ddn/Rem Size Zoning Classification <br /> Garage Size ~ Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> i <br /> Number of Stories a"' Residential Use AJ1}-.1- 61 <br /> Occupancy Group --A-"2 Proposed No. of Dwelling Units: --- <br /> Occupant Load N'N Total No.of Dwelling Units: <br /> Basement No Yes/ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction U t3 needed before final? Yes_ No x <br /> Existing Sprinkler System? Yes , No)`2' Unk Planning Inspector: <br /> Fire Sprinkler Required Yes— No i Phone#: <br /> Reason EX t Si INCr Approved by: F.,1.40•-• 64, -,3.--I Date: 3 7 <br /> Existing Fire Alarm Ye _ No_Unk )G Historic Approved by: Date: <br /> Fire Alarm Required Y s_ No_ School Mitigation Reqd? Yes No `r; <br /> Reason i 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:pet, to{t(,lo Date: School Impact Fee Credit: <br /> Mi Approved: 1 (.re(Q'9 Date: t lI Total School Impact Fee Owed: <br /> Comments: p./040/... 0)4Lti Comments: <br /> r Intake OK by: 1)\* <br /> Intake OK by: dh(f Date: 14411_ <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By; Date: 7..1/a/Z6V <br /> Plan Check Fee n <br /> Comments:St-E CION+ 41� = OF?E fveito <br /> Building Permit TY' Fif4`{I' S d-,�0«IpIN6 L- <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 l Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurr nt Review(separ-te g een folder) <br /> Ping Bldg Review Fee PW - VIEW: PW Reviewer: � GST Date: <br /> Water Fee 1:!1 PW Permit Approved-PW f 1O3-O <br /> Sewer Fee 0 See PW Review Worksheet KF S,N4f29 p/44-C a 4 Y/�1/� <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: <br /> I <br />