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FOR OFFICE USE ONLY PERMIT# PA 6o3 o20 <br /> BUILDING. PLANNING <br /> BldgfrI/Addn/Rem Size i Apr Zoning Classification 1c M U <br /> Garage Size Overlay/Agreement <br /> VALUATION 00•0 Nonresidential Use OPP,C-?- <br /> Number of Stories / Residential Use <br /> Occupancy Group I 3 Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V-73 needed before final? Yes No1i <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Y Phone#: <br /> Reason Approved IIc Date: 31 [(2 f I,$ <br /> Existing Fire Alarm Yes_ No_Link-4Historic 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'I RCW 64.55 docs required prior to final?Yes_ No/ Calculated School Impact Fee: <br /> Architectural Approved By/Date: c.-1612‘ ,124'I1-i( School Impact Fee Credit: <br /> Structural Approved By/Date: `—'• Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: e, 3,,Pt1 S Intake OK b Ok to route _ Hold _ <br /> Make this a"W' ermit? Yes No <br /> PUBLIC WORKS <br /> FEES . ' / <br /> _, INTAKE: Checke• By: ,1 Date <br /> Plan Check Fee Comments:/ d p,- , . �'_��(,� <br /> Building Permit , sr+.10/14 <br /> AJ// tb� ;%001, <br /> Syysf�m D ,intuviir Atm4k ev <br /> Surcharge Hig Hazard Sites(Den al/Medic I,Ani s,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee lil Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent view(separate green Ider) IRs <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: . Date: S <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 2 See PWc�Lyiew Worksheet <br /> Systems Dev. Fee aPW.. ...,lm Not Required w/lh a l,p- <br /> 1, <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 /> lut f`‘.eitd rir T l.ee_. <br /> y <br />