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FOR OFFICE USE ONLY PERMIT#0 L' \r4OS ^od <br /> BUILDING PLANNING <br /> Bldg/TI/Addni Size Z-gZ .,..',/4 Zoning Classification ' <br /> Garage Size 2D0 Overlay/Agreement —_ <br /> VALUATION J3/ 600 Nonresidential Use <br /> Number of Stories / Residential Use S <br /> Occupancy Group ig//t Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: 04\-11. <br /> Basement No_ Yes„ nfi• Landscape or Planning Inspection v <br /> Type of Construction lig needed before final? Yes_ No X <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason Approved by: C.5' Date: " (Z'+ ZO <br /> Existing Fire Alarm Yes_ No—Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes_ 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'I RCW 64.55 docs required prior to final?Yes_ No Calculated School Impact Fee: — <br /> Architectural Approved: Date:V/0 , School Impact Fee Credit: <br /> Structural Approved: Date: Total School Impact Fee Owed: ----- \ <br /> Comments: 7_0/6-i T ws'6 Comments: `c c5 5ty tic \w` fkoN.`kof ;A.ZA <br /> C:\t_k_ ti(11:11- k.)4\--;- 1 In-L` ^I"'F2 Intake OK by: <br /> Intake OK by: Date: -SO-C+0,3 ,., �' L, <br /> ri, . „ P,. BLIC WORKS <br /> FEES INTAKE: Checked By: ?4 Date: 3 © ?A//- <br /> Plan Check Fee Comments:rxinn� 4 Jh • , / yak <br /> Building Permit 710 'T <br /> Surcharge High Hazard Sites(Dental,Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee IK Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: B Date:4 7-17 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee '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_ 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 />