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FOR OFFICE USE ONLY PERMIT# 111 (1)—02to <br /> BUIL®INC <br /> ;, : PLP►NNINC; <br /> Bldg/TI/Addn/Rem Size (1 R(- Zoning Classification E-3 <br /> Garage Size Overlay/Agreement <br /> VALUATION 5 e+c f mac) J j Nonresidential Use <br /> Number of Stories Residential Use AJLT. <br /> Occupancy Group Rat- Proposed No. of Dwelling Units: <br /> Occupant Load Nla Total No.of Dwelling Units: <br /> Basement NoX Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes No <br /> Existing Sprinkler System? Yes No Unk_ Planning Inspector: - <br /> Fire Sprinkler Required Yes_ No 74 Phone#: j .24V31— <br /> Existing <br /> Reason e (SZ �lr Approved by: -�( Date: la Fire Alarm Yes_ No ya Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No 'G School Mitigation Reqd? Yes No <br /> Reason G')(eS1iNv Everett School Dist Mukilteo S ••• 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 No r Calculated Scho• pact Fee: <br /> Architectural Approved By/Date:/hlls 1.V1 'S vt/11 Schoo pact Fee Credit: <br /> Structural Approved By/Date: r t b I/(1- T. al School Impact Fee Owed: <br /> Comments: Cit-P0,-,t- SPprce $4/t-vc.t0-01-- Comments: <br /> Intake OK by: PAP- 1111/1-1 Intake OK byej*c____ Ok to route _ Hold <br /> Make this a"W" Permit? Yes No <br /> .:. PUBLIC WORKS. <br /> FEES .'. 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 grey folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: kt�� <br /> Water Fee 0 PW Permit Approved-PW <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 />