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FOR OFFICE USE ONLY PERMIT#C.,in-( ` -061A <br /> BUILDING '' > PLANNING `_ <br /> fI/Addn/Rem Size /5-Z1 s,/ Zoning Classification 9-Z <br /> Garage Size Z 3 4. S/ Overlay/Agreement <br /> VALUATION ' 57-9 Nonresidential Use <br /> Number of Stories Residential Use t lQA.,, SPre_ <br /> Occupancy Group (2-/tit Proposed No. of Dwelling Units: :1- <br /> Occupant Load Total No. of Dwelling Units: 1, <br /> Basement No 2(Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction ZE needed before final? Yes_ No g <br /> Existing Sprinkler System? Yes_ No K Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No IX Phone#: <br /> Reason Approved by: di Date: I- 11-1 i' <br /> Existing Fire Alarm Yes_ No A Unk_ Historic Approved by: Date: ' <br /> Fire Alarm Required Yes No X School Mitigation Reqd? Yes X No_ <br /> Reason Everett School Dist 7( Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No)( #of Net New Units: I <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No X Calculated School Impact Fee: 615.0 <br /> Architectural Approved By/Date: t.//J irz/7//7- School Impact Fee Credit: /,,q so <br /> Structural Approved By/Date: Total School Impact Fee Owed: 0 <br /> Comments: O/ /Ac it <br /> fs:gc. Comments: <br /> Intake OK by: Intake OK by: ii--14 Ok to route Hold _ <br /> Make this a"W"Permit? Yes_ No (x <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: ti/7 <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 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee Public Works Permit-Concurrent eview(separate gr n fo der) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: /2- <br /> / <br /> Water Fee Et PW Permit Approved-PW Igo/-0 0 <br /> Sewer Fee birSee PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FERE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes_ No 7 Existing Bldg._ <br /> Update/New Detection Yes_ No / Existing Bldg._ <br /> Update/New Chemical Yes_ No / xisting Bldg._ <br /> Update/New Fie Service Yes_ No 7 Existing Bldg. <br /> Approved by: aj- 1' — Date: L- L3-1 a <br /> Comments: %-(--- <br /> '`ite2 <br /> J I:` <br />