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FOR OFFICE USE ONLY PERMIT#J\_"ig::3 - b?Q <br /> BUILDINd • <br /> --pp, <br /> z <br /> Bldg I/ ddn/Rem Size \ I U' S -r-t- Zoning Classification G-1 <br /> Garage Size — Overlay/Agreement <br /> VALUATION $90, oc:o Nonresidential Use (r 5 Notic, }— <br /> Number of Stories `l' Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load IS Total No. of Dwelling Units: <br /> Basement, No.X Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction \/f needed before final? Yes_ No <br /> Existing Sprinkler System? Yes No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes T. No_ Phone#: <br /> Reason C''ic c In1.fLt Approved by: F'L. \U -j <br /> a Date: -5-2.10-K <br /> Existing Fire Alarm Yes?c No_Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes )< No_ School Mitigation Reqd? Yes_ No <br /> Reason Cil.sTt�1 . Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No lc #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No )( Calculated School Impact Fee: <br /> Architectural Approved By/Date: v If A \q7 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: I <br /> Comments: +Wp, patn4.qn t .,„, ,. ,t,z Comments: M1 �yL j„ u)°?) - <br /> re.A4aJ� Ov <br /> 1�rltc.,fvt ouT s t rC -Duce'P slice- F11 -. '4 �!"'N , (, <br /> goring.. eft.- ON s µ a{ ..visa. -h ooci � e _ (`S O 44(:t44(:tS early"- <br /> 'rt S v pi..�s t►tsr. t ,.# C'��� <br /> Intake OK by: 4#I zeal$ Intake OK by: Ok to route _ Hold <br /> Make this a"W"Cermit? Yes No <br /> .. P,. ��.BLIC.WO <br /> RKS <br /> •' INTAKE: Checked B f `- Date. !�€ i <br /> FESS .::_ ...:` y. <br /> Plan Check Fee Comments: PIA.) <br /> Building Permit `' "� <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Checkublic 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 Revie (separate gre folds) <br /> . <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer; Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee lErPW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE'DERARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes 7 No Existing Bldg. <br /> Update/New Detection Yes /No_ Existing Bldg. 7- <br /> Update/New Chemical Yes No/..-Existing Bldg. / <br /> Update/New Fire S rvice Yes No Existing Bldg. <br /> Approved by: `'U Date: '-( "-1L Yt <br /> Comments: X <br />