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FOR OFFICE USE ONLY PERMIT#6 w IbULD-60q <br /> BUILDING PLANNING, <br /> Bldg/TI/Addn/Rem Size Zoning Classification V--2- <br /> Garage Size S-1 67 Sf'e Overlay/Agreement ...--- <br /> VALUATION (2b0 Nonresidential Use „.------ <br /> Number of Stories I Residential Use r2 <br /> Occupancy Group vl Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: I <br /> Basement No 4 Yes_ Fin / Unfin Landscape or Planning Inspectiion , <br /> Type of Construction needed before final? Yes V No_ <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector:1eIZESV" V-1�D <br /> Fire Sprinkler Required Yes_ No_ Phone#: 4V5-.-2s----4- - S-1-.7)1 <br /> Reason Approved / Date: 11141 i <br /> Existing Fire Alarm Yes No_Unk 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'l RCW 64.55 docs required prior to final?Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: fit" $ / cg School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: ZQ/g- /e..� Comments: 4tty)J 0 Lc/ C5 l 0 6.14:1-649( v1 si d Q, <br /> Si-oat-- VmAAlet-f\ll of <br /> Intake OK by:_____IL Intake OK bT 4 Ok to route j Hold 414 <br /> Make this a"W"Permit? es: No_ <br /> ��//�j PUBLIC WORKS <br /> FEES INTAKE: Checked By: A,5 Date: //'q-' <br /> Plan Check Fee Comments: N <br /> Building Permit tetidC/25 a ?'" 671 <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 ® 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: Date: 5/2 <br /> Water Fee ta-RW Permit Approved-PW 13 O - ao cf <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 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 /> 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 />