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FOR OFFICE USE ONLY PERMIT# a( 'D9-b(Q <br /> BUILDING , PLANNIN> ., <br /> Bldg/TI/Addn/Rem Size / Z 11 0 Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 95/0 Nonresidential Use CptY1rr1i5S 16A'\-G - <br /> Number of Stories / Residential Use <br /> Occupancy Group 13 Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No`IC Yes F'n / Unfin Landscape or Planning Inspection <br /> Type of Construction J3 needed before final? Yes_ No 'x <br /> Existing Sprinkler System? Yes-( No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes X No_ Phone#: <br /> Reason Approved by: tt..°aq Date: 14-7,3-ig <br /> Existing Fire Alarm Yes- No Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yek No_ School Mitigation Reqd? Yes_ No X <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.'RCW 64.55 docs required prior to final?Yes_ No Calculated School Impact Fee: <br /> cs� <br /> Architectural Approved By/Date: 3/171* it School Impact Fee Credit: <br /> Structural pproved By/Date: — Total School Impact Fee Owed: <br /> Commen s: (\I, Q A L t7r�-r Comments: �( 7� <br /> s„,00 wtr4l Pu"`'.' ? 00 �,fi�rr 0_��+4, r'P °`Jed or °` a-5r- <br /> Zi <br /> Intake OK by: ��,�� S/$/ Intake OK by: Ok to route _ Hold <br /> Make this a"W'V-rmit? Yes No <br /> PUBLIC WORKS. <br /> FEES... INTAKE: Checked By: /T J Date. 5/ <br /> Plan Check Fee Comments: <br /> Building Permit 4t.. f Se Zztl` d.-e_ <br /> Surcharge High Hazard Sites(Dental/Medical,Animals, Mortuary,etc-R iew for RPBA) <br /> Additional Plan Check csitPublic Works/Sys DevTraffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurren eviee�w(separate gre fold r) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: 24 Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee IRSee PW Review Worksheet-W 41 -N'°rec, NE- <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_ xisting Bldg./ <br /> Update/New Chemical Yes_ No .xisting Bldg. <br /> Update/New Fir a ice Yes_ No Existing Bldg. <br /> Approved by: ' Date: '7'3.-/0 <br /> Comments: I <br /> S <br /> J\ ' <br />