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FOR OFFICE USE ONLY PERMIT# ( $—OI <br /> BUILDING PLANNING .` _ <br /> Bldg/TI/Addn/Rem Size p�� ��J " Zoning Classification L -7, C-S <br /> Garage Size / ((• Overlay/Agreement , 1 _ <br /> VALUATION i/Xi 7i S�1 Nonresidential Use W O-Cert p ..SZ <br /> Number of Stories / 4 14440:t Residential Use <br /> Occupancy Group 5-02 Proposed No. of Dwelling Units: <br /> Occupant Load b 7 Total No. of Dwelling Units: <br /> Basement No ZS Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V -33" needed before final? Yes No 0 <br /> Existing Sprinkler System? Yes No—Unk— Planning Inspect (x( y <br /> Fire Sprinkler Required Yes g No— Phone#: b s i 25 �\"//"`�.-, S <br /> Reason CIA) Approved by:d, Vij Date: )0 117-1 <br /> Existing Fire Alarm Yes„ No—Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Ye((w No— School Mitigation Reqd? Yes No 'V <br /> Reason Ci2D Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No-21 #of Net New Units: '--' <br /> Add'I RCW 64.55 docs required prior to final?Yes No Calculated School Impact Fee: , <br /> Architectural Approved By/Date: `. /lJ School Impact Fee Credit: -------- <br /> Structural Approved By/Date: ji /9” Total School Impact Fee Owed: <br /> Comments: Comments: _ (Doi <br /> I�re�el <br /> Intake OK by: ANV Intake OK by: 14' Ok to route _ Hold lc <br /> Make this a"W" Permit? Yes No V <br /> P BLIC WORKS <br /> FEES; INTAKE: Checked By• � � �/ Date. $�-if 29�� <br /> Plan Check Fee Comments: g.AA-sw W/ fidscs,Ed,1 d�-�4,fr l ci <br /> BuildingPermit (,Ui h ffl) 1T16 cisatrk <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ 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-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: nate:__ 1O/. 77 <br /> Water Fee Ci PW Permit Approved-PW 1- d, <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee ❑ PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works FeeFIRE 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 Fir- Service Yes /No— Existing Bldg. <br /> Approved by: I -� Date: /0-ii.')1 <br /> Comments: fp <br />