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FOR OFFICE USE ONLY PERMIT# 3(76a--o 3p <br /> $4 r 0/1/5 <br /> /5 rr <br /> JBUILDING PLANNING <br /> BldgOdd dd RemSi t ZS S& Zoning Classification S 3 <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories 3 Residential Use y✓►)\r`t <br /> Occupancy Group 11-1" Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No ZC Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V Q needed before final? Yes_ No x <br /> Existing Sprinkler System? Yes— No X Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No X Phone#: -7- <br /> Reason Fi 1C(Sit/•1(3- Approved by: ,, ik Date: 3 <br /> Existing Fire Alarm Yes_ No_Unk X 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 yG 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: ma t\Prt,e) Date:4/sill School Impact Fee Credit: <br /> Structural Approved: tT fie y u Date: Total School Impact Fee Owed: <br /> Comments: Ey 7eiti t. ik p V Nt 1 Comments: <br /> C t-k Pc,s € al- 6 Cw p Ars <br /> - j Intake OK by: 4* <br /> Intake OK by: /M1(f' Dater <br /> = PUBLIC WORKS <br /> FEES INTAKE: Checked By-leg-I- Date: <br /> Plan Check Fee Comments:SZE eta hou.�� 4igtd • Of/e PA1p unk <br /> Building Permit 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 [Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurr nt Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:At, Date: 1--3/-1,10 <br /> Water Fee PW Permit Approved-PWJ03—bw <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_ 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 />