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• ' FOR OFFICE USE ONLY PERMIT# 10 1700 -0 <br /> I-t r Oidp '''`f' <br /> UILDING PLANNING <br /> Bldg I/Ad, Rem Size I ZZoning Classification FIC3 <br /> Garage Size ....' Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories 3 Residential Use 'BMJ\}-j y n,ti\1 - <br /> Occupancy Group (LA- Proposed No. of Dwelling Units: <br /> Occupant Load 1 Total No.of Dwelling Units: "'— <br /> Basement No )4 Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction vi/ needed before final? Yes` No x <br /> Existing Sprinkler System? Yes^ No X Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No )4 Phone#: - <br /> Reason e)(0S1tt-str Approved by: 16.., ak Date: 3.-3,17 <br /> Existing Fire Alarm Yes_ No—Unkx Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No— School Mitigation Reqd? Yes_ No `C <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes )4 No_ #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes >4 No Calculated School Impact Fee: <br /> Architectural Approved:re() N(Leill Date:`FSS/(7 School Impact Fee Credit: <br /> Structural Approved: 4Y? -e(5)`rp Date: Total School Impact Fee Owed: <br /> Comments: CX 1t 1U t)t- t$ P U N 11 Comments: <br /> c 14,p..riGe d' 01-cu/11/24-W1 <br /> Intake OK by: kik <br /> Intake OK by: /W f Date:2224n_ <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By � Date: 2.46 17 <br /> Comments:STir C�IC�/1d7.t�r"r- ✓19J . Ort E Ptire/!�iA'- <br /> Plan Check Fee <br /> Building Permit fm,h e. S <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 ErRoute for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separa e green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: .4 Date: 3 3 <br /> Water Fee 'PW Permit Approved-PW ii-O3--64C <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_ ,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 />