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FOR OFFICE USE ONLY PERMIT# 1-1610— <br /> BUILDING !; PLANNING <br /> Bldg/TI/Addn/Rem Size U RCZ-ISS Zoning Classification E-- <br /> Garage Size Overlay/Agreement <br /> VALUATION 5 f,t-urJ1 Nonresidential Use <br /> Number of Stories Residential Use IvAU ,5TT 'F <br /> Occupancy Group fZ., Proposed No. of Dwelling Units: <br /> Occupant Load n1(a Total No.of Dwelling Units: <br /> Basement No's Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V a needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No 74 Phone#: <br /> Reason 4Xt S1 AfLy Approved b edDate: (Q Z12_/ri <br /> Existing <br /> Fire Alarm Yes_ No Na Unk_ Historic Approvedeedd���`by: Date: <br /> Fire Alarm Required Yes_ No '6 School Mitigation Reqd? Yes No_ <br /> Reason X Everett School Dist Mukilteo S •.• Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No ?0:3 #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No ,° Calculated Scho• pact Fee: <br /> Architectural Approved By/Date:/h5b -fc 1�'► 'S 2,2/11 Schoo •act Fee Credit: <br /> Structural Approved By/Date: r l b3 i/tom T. al School Impact Fee Owed: <br /> Comments: CA-At"'L S Pfrc€ 5 1Comments: <br /> t3A611- 4�� <br /> Intake OK by: ;YIP �1 '/t') Intake OK by(.74:c______ Ok to route Hold _ <br /> Make this a"W"Permit? Yes No <br /> PUBLIC WORKS <br /> FEES .'.t INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <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 0 Public Works Permit-Concurrent Review(separate gree folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: 6,7 Date: k13 <br /> Water Fee ❑ PW Permit Approved-PW JJ <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee aPW 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: 7, <br />