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a <br /> FOR OFFICE USE ONLY PERMIT# 0 I70a-,31 <br /> BUILDING PLANNING <br /> BId I/A n/Rem Size gAt Zoning Classification SC 3 <br /> Garage Size — Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories - Residential Use IMJ\}=1- WA-t <br /> Occupancy Group ft.'Z Proposed No.of Dwelling Units: ---- <br /> Occupant Load P P Total No. of Dwelling Units: "-- <br /> Basement No Yes_, Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V Q needed before final? Yes_ No % <br /> Existing Sprinkler System? Yes_ No NiC Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No )( Phone#: , <br /> Reason i310S704(r Approved by: -,1),.1,1 Date: 3-,3-I7 <br /> Existing Fire Alarm Yes_ No—Unk )C Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No 1C <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes ')G No— #of Net New Units: <br /> Add'l RCW 64.55 docs required prior to final?Yes )C No Calculated School Impact Fee: , <br /> Architectural Approved: (T t. N'1g11 Date: 414/(1 School Impact Fee Credit: <br /> N1 at <br /> Structural Approved: 0`to Date: Total School Impact Fee Owed: <br /> Comments: ex t i/l-toft- UNI. Comments: <br /> Intake OK by: 4,16-\"" <br /> Intake OK by:/MIf Date:_' <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By Date: ZAO/ZeI 7 <br /> Comments:SZE- dab'`O(E- 4 , On E PA/'� /j <br /> Plan Check Fee <br /> Building Permit 4— Fifl S • <br /> WF <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 laRoute for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent. � <br /> Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:6 .{ Date: 9-3/-17- <br /> Water Fee '; PW Permit Approved-PW 1103—)W <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 />