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FOR OFFICE USE ONLY PERMIT# 6 11 (a-o 6( <br /> .';BUILDING Zoning <br /> ' PLANNING <br /> (TI/Addn/Rem Size 716 <br /> Bld <br /> g 111 Classification (�,— <br /> Garage Size `— Overlay/Agreement <br /> VALUATION 3,O (TO Nonresidential Use ' 1-\-V-_ _A2- 1 <br /> Number of Stories Residential Use <br /> Occupancy Group 1 Proposed No. of Dwelling Units: <br /> Occupant Load / pZ Total No.of Dwelling Units: <br /> Basement No Yes_ Fin / Unfin Landscape or Planning Inspection, <br /> Type of Construction V - 5 needed before final? Yes_ No 4.� <br /> Existing Sprinkler System? Yes_ No - Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No-24 Phone#: / <br /> Reason Approve•e of Date: ' 2/ RD/ <br /> Existing Fire Alarm Yes_ No- Unk_ Historic Approved by: Date: I� <br /> Fire Alarm Required Yes_ Nos-g School Mitigation Reqd? Yes No_ <br /> Reason Everett School Dist Mukilteo Sc•••: *1st <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No —2c #of Net New Units: <br /> Add.'RCW 64.55 docs required prior to final?Yes— No 1 Calculated -•o Impact Fee: <br /> Architectural Approved By/Date: 4...... "-- il/,�/N. Sc•=• Impact Fee Credit: <br /> Structural Approved By/Date: - Total School Impact Fee Owed: <br /> Comments: / 5 Comments: - b (5610 <br /> /25V5w <br /> Intake OK by: V.:‘,/, / err-444443i Intake OK b ' 4liti Ok to route _ Hold <br /> Make this a"W" Permit? YesX 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 evi w(separate •r e older) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: Y <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee KPW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIREDEPARTMENT , <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: 7'--7 <br /> Commerat <br /> /lC�, r <br />