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FOR OFFICE USE ONLY PERMIT# G(9-0S -o15 <br /> BUILDING <br /> PLANNING , <br /> Bld I/ ddn/Rem Size 4/Rt Zoning Classification —t J AU() <br /> Garage Size Overlay/Agreement <br /> VALUATION 4 yo, 000 Nonresidential Use <br /> Number of Stories / Residential Use <br /> Occupancy Group Z.5 Proposed No. of Dwelling Units: <br /> Occupant Load 4 JP Total No.of Dwelling Units: <br /> Basement Nob _____ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction ( g needed before final? Yes_ No XC <br /> Existing Sprinkler System? Yes_ No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approved by: Date: I I -/2-01.--4. <br /> Existing Fire Alarm Yes No_Unk CS Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No - School Mitigation Reqd? Yes_ No <br /> Reason 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_ N§:r Calculated School Impact Fee: <br /> Architectural Approved By/Date:-7-'1,Bior OA 6A I School Impact Fee Credit: <br /> Structural Approved By/Date: fjor ' 1:›Ft, t /10 Total School Impact Fee Owed: <br /> Comments: A t�c UpG �A Comments: <br /> t! yr 2X -,in ..,,,..,Qp,, ,,,.€.& \\ Cove \s ut,vv-� <br /> Intake OK by: /I /lr Intake OK by: Ok to route _ Hold <br /> Make this a"W' ermit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: /(R Date: 8 -.1 7^17 <br /> Plan Check Fee Comments: • <br /> Building Permit Okay I'O +a ke Hi <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 El Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurren Review(separate gre n folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: q�/�' �, <br /> Water Fee ►=l.PW Permit Approved-PW Po'P-029- 60.144s?le <br /> Sewer Fee ❑ See PW Review Worksheet A!1'1i- <br /> Systems Dev. Fee ---- 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee J 854(2A 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: <br /> Comments: <br />