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1Y6k- A- pin&✓ FOR OFFICE USE ONLY PERMIT# .q() 5 6/2/0 <br /> BUILDINGPLANNING <br /> Bldg/TI/Addn/Rem Size 32o 44- Zoning Classification — <br /> Garage Size ` -- Overlay/Agreement <br /> VALUATION 1 k ! 0 Nonresidential Use <br /> Number of Stories .1.- Residential Use <br /> 1 <br /> Occupancy Group .. Proposed No. of Dwelling Units: <br /> Occupant Load — Total No.of Dwelling Units: <br /> Basement No kYes_ Fin / Unfin Landscape or Planning Inspection �/ <br /> Type of Construction \/1 ? needed before final? Yes_ No T <br /> Existing Sprinkler System? Yes_ No k Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No k Phone#: <br /> Reason — \'.1(t\1% ty5-1 <br /> , 1 <br /> �. e(�ovt:fit-• Approved b � Date: �( 2d i <br /> Existing Fire Alarm Yes_ No K Unk_ Historic Approved by: Al(Pt Date: <br /> Fire Alarm Required Yes No X School Mitigation Reqd? Yes No <br /> Reason -- C 4exx0 P'l" Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No'?C #of Net New Units: <br /> Add'RCW 64.55 docs required prior to final?Yes_ No Calculated School Impact Fee: <br /> Architectural Approved By/Date: s) );/ cg School Impact Fee Credit: <br /> Structural Approved By/Date: / Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK bykA. ®3'J S�Z4,/67 Intake OK by: Ok to route _ Hold <br /> Make this a"W"Permit? Yes No <br /> PUBLIC IC WORKS <br /> FEES ' `: , : ,:. . <br /> INTAKE. Checked BY:,&4- Date: 5 .J <br /> Plan Check Fee Comments: , , / 24./3' <br /> Building Permit e-OtI � W r i •,"i i �Y <br /> Surcharge High Hazard Sites ental/ �Anma <br /> ,i oI a4 - c-1-4eview8f01(1:1•BA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee E.Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent 1eview(separate gre n f !der) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: r..(/1a Date: 5./S <br /> Water Fee 0 Permit Approved-PW <br /> f <br /> Sewer Fee 0 See W Review Worksheet 'f,', # ' <br /> Systems Dev. Fee 0 PW Per 't Not Required I# i '..S.• <br /> Traffic Mitigation Fee <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 />