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FOR OFFICE USE ONLY PERMIT# C_,1 g0 3-0 <br /> .. . BUILDING PLANNING , ... <br /> Bldg/TI/Addn/Rem Size /7 YL) .: Zoning Classification .'' <br /> Garage Size Overlay/Agreement \C,Q <br /> VALUATION 131SOC) Nonresidential Use <br /> Number of Stories 2- Residential Use S <br /> Occupancy Group E./G- Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: ON Q <br /> Basement No Yes_ Fin-/ Unfin Landscape or Planning Inspectio <br /> Type of Construction T43needed before final? Yes No <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: MCsk--)C \_ <br /> Fire Sprinkler Required Yes_ No Phone#: 4tS • Wv C <br /> Reason Approved by: r752,_(--- Date: SI(4 (20\k <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by:JJ 06N-- Dates:/ <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes— No A <br /> Reason Everett School Dist Mukilteo School Dis <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: (I'. yam/18 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: /6- /AL_ (�1 s-6c, Comments: �sSUQ N ���` N <br /> c'eco�dst C,�`n o � (s ecez,st <br /> Intake OK by: 4.4{- Intake OK by�' Ok to route V Hold <br /> Make this a"W"Permit? Yes_ ‘o <br /> P...BLIC WORKS <br /> FEES;, INTAKE: Check jd By' Date: 3��q �t� <br /> Plan Check Fee Comments: A hirr t" <br /> Building Permit IVU Pa) r- /A') 0 <br /> Surcharge Hig Hazard Sites(Dental/Medical,Animals,Mortuary,a -Review for RPBA) <br /> Additional Plan Check alPublic 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 eview(separate gre n f er) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee KPW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee EIRE;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 /> �/�p,,� <br /> 101 re 06/1,U31`-e.60 \ <br /> L` <br />