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FOR OFFICE USE ONLY PERMIT# Jlq c.2-- 024 <br /> BUILDING <br /> PILAF . _:. . <br /> NIRIG <br /> Bldg/TI/Addn/Rem Size 0/A Zoning Classification f- . M o U <br /> Garage Size _ Overlay/Agreement frt 0() <br /> VALUATION 30 i OOa — Nonresidential Use _ (Ornir*Nert-G1.I <br /> Number of Stories / Residential Use <br /> Occupancy Group V\ y "` 1.. Proposed No. of Dwelling Units: <br /> Occupant Load n /A _ Total No. of Dwelling Units: <br /> Basement No' Yes_ Fin / Unfin _ Landscape or Planning Inspection <br /> Type of Construction V- f> _ needed before final? Yes_ No ]( <br /> Existing Sprinkler System? Yes_ No Unk_ — Planning Inspector: <br /> Fire Sprinkler Required Yes No' Phone#: <br /> G sot,z 1-'1" S4. V.44. i441 <br /> Reason M Approved by: IL,.\\(,� Date: VZ- 13- <br /> Existing Fire Alarm Yes No Unk_ _ Historic Approved by: c� Date: <br /> Fire Alarm Required Yes X No_ _ School Mitigation Reqd? Yes_ No /J <br /> Reason e.t.pe 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: School Impact Fee Credit: <br /> Structural Approved By/Date: ‘ ' t 11 Total School Impact Fee Owed: <br /> Comments: Comments: 'n j r work. vto 1901V,4f.c ceirs-5 <br /> Intake OK by: 2' I Z 13 iq — Intake OK by: Ok to route _ Hold _ <br /> Make this a" fl ermit? Yes_ No_ <br /> ELIC WORKS <br /> FEES::.:: ,; <br /> INTAKE Checked By: Date: 7 r!3 ��� <br /> Plan Check Fee _ Comments: Mc) f] Sk 6pe.. <br /> Building Permit 1 <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check — IRPublic 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 eview(separate gree fol er) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: t Date: <br /> Water Fee _ 0 PW Permit Approved-PW <br /> Sewer Fee _ ❑ See PW Review Worksheet <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 /> Update/New Detection Yes_ No"Existing Bldg. <br /> Update/New Chemical Yes— No 7-Existing Bldg. <br /> — <br /> Update/New Fir e ice Yes_ No_ Existing Bldg. <br /> — <br /> Approved by: ! Date: /--- 1i <br /> — <br /> Comments: {�`` <br /> �1 <br /> r <br />