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FOR OFFICE USE ONLY PERMIT# b ilOT h 0 22-1 <br /> , , BUILDING <br /> PLANNING :', . <br /> Bldg/Taw em Size 2:7 L2. -GC Zoning Classification - <br /> I= s Size c-70 217 ..Si Overlay/Agreement ''- <br /> VALUATION b q( Nonresidential Use '�J n <br /> Number of Stories .. Residential Use S\--\& <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: Q <br /> Basement No Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction M3 needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: ----- <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason Approved by: (Qc:::::7 Date: ¶(2,8 ( t1r <br /> Existing <br /> Fire Alarm Yes_ No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes Nov.. <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? <br /> Yes No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: ZJtfr (1/4 //9- School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: y <br /> Comments: `5 /fC W C Comments: { rN`I (54\e �� NO^QA, `�� -d iA <br /> o�SV( "\4\ efwv;'� � Nkok o.� -rove A <br /> 2u' \c` s' evreAt ,�nc�e,or C�,., .w�s4.¢d' <br /> Intake OK by:\, i (� Intake OK by: Ok to route Hold _ <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: ,46' Date: 7 4 7-17 <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 green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: /1� Date: 7 ../7-/7 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee ❑ 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 / fisting Bldg. <br /> Update/New Fire ervice Ye�---No Existing Bldg. <br /> Approved by: r Date: ti 1-t,sl'1 <br /> Comments: <br />