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l / <br /> FOR OFFICE USE ONLY PERMIT#i=m1U-dc'6\ -ki`-5 ef2-e-- (e il=Pil - �\�� --(Lc, <br /> BUILDING = PLANNING, <br /> Bldg/TI/Addn/Rem Size 3113, Si. Zoning Classification •Y> " 2- <br /> Garage Size Overlay/Agreement <br /> VALUATION 164,Soy— Nonresidential Use C,Z,,j. NYE- C_ <br /> Number of Stories ((��I Residential Use <br /> Occupancy Group 6 Proposed No.of Dwelling Units: — <br /> _Occupant Load 3 3 Total No. of Dwelling Units: <br /> Basement No )4 Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction Vf needed before final? Yes_ No__L---- <br /> Existing Sprinkler System? Yes_ No 7 Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No x Phone#: <br /> / <br /> Reason X t'1t$isApproved .' y' Date: 5lf M-- <br /> Existing Fire Alarm Yes )' No—Unk_ Historic Approved by: Date: `` <br /> Fire Alarm Required Yes )a No_ School Mitigation Reqd? Yes_ No <br /> Reason q- IS_10N S ( )003_ 010)l Everett School Dist Mukilteo School 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_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: (het, ktti 7/1/17 School Impact Fee Credit: <br /> Structural Approved By/Date: -/�/R} Total School Impact Fee Owed: <br /> Comments: njp jr.eDlt A1. Cs aS [ Comments: U —(0 (.jt. 3 ?3 <br /> Ai-f. aa(o,c i,4-rt�� , <br /> Intake OK by: Intake OK by: -4Okb routeYr- �• •"_ <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 gre n fo er) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:75 Date: <br /> Water Fee 0 PW Permit Approved-PW /� " <br /> Sewer Fee See PW Review Worksheet-kw 515 <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 /> dd # New Detection Yes it No_ Existing Bldg; <br /> Update/New Chemical Yes_ No_ Existing Bldg._ <br /> Update/New Fire ServicY/ejs No_ Existing Bldg._ <br /> Approved by: 6pe�✓t „`� '-3 U'� Date: ',pig rte .. <br /> j.,,,Comments: <br />