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FOR OFFICE USE ONLY PERMIT#'Vet 9 0( �l <br /> BUILDING � <br /> PLANNING <br /> ( I/Addn/Rem Size a AO7 Zoning Classification 13r7 <br /> Garage Size Overlay/Agreement <br /> VALUATION ti 075 O 0 Cd Nonresidential Use re a,�*— <br /> Number of Stories A I Residential Use <br /> Occupancy Group A �U4 Proposed No. of Dwelling Units: <br /> Occupant Load 3 / Total No. of Dwelling Units: <br /> Basement No ZS Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction ti -I? needed before final? Yes No <br /> Existing Sprinkler System? Yes- <br /> No Unk_ Planning Inspector: /, r <br /> Fire Sprinkler Required Yes No_ Phone#: 47,s--251- -n,0 <br /> Reason Approved by: ,/ Date: 11-17-Je4 <br /> Existing Fire Alarm Yes_ No- Unk_ Historic Approved by: •-- Date: -- <br /> Fire Alarm Required Yes No - School Mitigation Reqd? Yes_ No jC <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No X #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes No 4 Calculated School Impact Fee: <br /> Architectural Approved By/D • 4-02% tf."vi>�C.r/ School Impact Fee Credit: <br /> Structural Approved By/Dat • 0,S,11`Za�d' Total School Impact Fee Owed: <br /> Comments: / Comments: C�• Os <br /> `‘g'lvt.,- 4o Xe- ire r i 5 <br /> �iw`1- <br /> Intake OK by: (1/I%/I.7- Intake OK by: Ok to route _ Hold <br /> Make this a"W' ermit? Yes No <br /> PUBLIC WORKS <br /> INTAKE: Checked B Date: 9. /Z" / 7 <br /> Plan,Check Fee Comments: <br /> Dia, to fake /h <br /> Building Permit Wt/%'!i/'ma,L./ p ISSue.s, <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/gys-Bev-/Trafie-Mit:I RPM-NOT REQUIRED <br /> Plumbing Fee �❑,�Route for Public Works Re 'eww(bldg f der, PW Worksh ,�&AZ <br /> Mechanical Fee L�`1 Public Works Permit-Concurrhnt'Review separate green folde " <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: C5731 <br /> Water Fee illh PW Permit Approved-PW 16 o1 --- O2>2 <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> w <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 /> 'i %I ✓� <br />