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FOR OFFICE USE ONLY PERMIT# &( 46 OOH'5( 1 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification c&.— L <br /> Garage Size Overlay/Agreement <br /> VALUATION 4 WO Nonresidential Use <br /> SF .(� <br /> Number of Stories 2. Residential Use S r 1� <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: O`(\Q <br /> Basement No Yes_ Fin / Unfin Landscape or.Planning Inspection <br /> Type of Construction ZI-j needed before final? Yes_ No <br /> Existing Sprinkler System? Yes No Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No— Phone#: <br /> Reason Approved by. Date: '312.-0 (2.0\Y' <br /> Existing Fire Alarm Yes_ No—Unk_ Historic Approved by: i(1- Date: "-- <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No V <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: 77.------------9 <br /> Architectural Approved By/Date: 4Vieg, School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: )/s"-- hy„...4. .e ,S'ACr Comments: <br /> Intake OK by: di+ Intake OK by: __.ss :, Ok to route W Hold _ <br /> Make this a"W" Permit? s 'x5)No <br /> PRKSBL <br /> I9 <br /> SEES INTAKE: Checked By: !t Date:2 Z <br /> Plan Check Fee Comments: Ara i <br /> 1 <br /> Building Permit D197/0e ' `S e ' ' <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check g Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurren Revie (separate gre fol r) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer. Date: 2. 24 2 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee ,�❑ySee PW Review Worksheet <br /> Est <br /> Systems Dev. Fee PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee <br /> 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 /> Z <br />