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FOR OFFICE USE ONLY PERMIT# <br /> BUILDING PLANNING <br /> Bld&ddn/Rem Size I aS SE Zoning Classification S 3 <br /> Garage Size — Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories 3 Residential Use yttrO\)-j.. q\ <br /> Occupancy Group 1`-I. Proposed No. of Dwelling Units: --- <br /> Occupant Load I Total No. of Dwelling Units: —..-- <br /> Basement <br /> .. - <br /> Basement No ) Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction ✓6 needed before final? Yes_ No x <br /> Existing Sprinkler System? Yes^ No X Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No )C Phone#: . <br /> Reason e'l 1S 7(/(r Approved by: F.4I,1 Date: 3,3—17 <br /> Existing Fire Alarm Yes_ No—Unk x Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No X <br /> Reason 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 14 No Calculated School Impact Fee: <br /> Architectural Approved:PEL t l-0( Date:kf c/(1 School Impact Fee Credit: <br /> Structural Approved: )41.1/ At-(Z1Date: Total School Impact Fee Owed: <br /> Comments: FA-re/LkcM- NI-b.° 0017 Comments: <br /> C Iu- E (Si- Occ.0 ()mem <br /> Intake OK by: kk <br /> Intake OK by:"1" Date: ' <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By �� Date: Z�la/�I7 <br /> Plan Check Fee n <br /> Comments:SFI CIO Mee- ,18 ' 'N E P�ffr <br /> Building Permit 74' ff6 S . <br /> Surcharge 1 High Hazard Sites(Dental, Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works I 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-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: ,4' Date: 3-3I—Zof <br /> Water Fee 'PW Permit Approved-PW(163-10% <br /> Sewer Fee ❑ 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 />