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FOR OFFICE USE ONLY PERMIT# IAA) 11 I24)(0 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/'=' .ize ' f Zoning Classification cZ....- <br /> / 3190/2-44,/p . £/ Overlay/Agreement - <br /> VALUATION sq„ -7 / Nonresidential Use .________- <br /> Number of Stories 2- Residential Use <br /> Occupancy Group (2. Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No_ Yes 6?/ Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No <br /> Existing Sprinkler System? Yes No_UnkPlanning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason Approved by:(y `=�`� Date: .212-0/2-CW <br /> Existing Fire Alarm Yes_ No_Unk Historic Approved by: s, 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 /> Addl RCW 64.55 docs required prior to final?Yes— No— Calculated School Impact Fee: <br /> Architectural Approved By/Date: (-11" //7.6// % School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 00 16 /,ec (11)..c Comments: Nc_xs\-A , 13 <br /> 1\vs, i2i-iiNN. vs ‘0,,z -ofro\n 0-, -`k''' \(-,k\fkk/A <br /> Intake OK by: 4:41tIntake OK bye---'rte Ok to route ']l Hold <br /> — <br /> Make this a"W"Permit? Yes No_ <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <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: ,i' Date: /2 /8 V 7 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 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 ZExisting Bldg. <br /> Update/New Chemical Yes No � Existing Bldg. <br /> Update/New Fire Service �Yeess - No /"Existing Bldg. <br /> (.. <br /> Approved by: �I)..._ tAA Date: C-t -t% <br /> Comments: <br /> 4i tr- i <br />