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(1)tY .1)044' <br /> FOR OFFICE USE ONLY PERMIT# OW t <br /> BUILDING PLANNING , <br /> Bldg/TI/Addn Size /C975 / Zoning Classification r--- 1 <br /> Garage Size .e34. --C-,f Overlay/Agreement <br /> VALUATION 76,1 53 a Nonresidential Use <br /> Number of Stories I Residential Use trig)- j S (I <br /> Occupancy Group (2- A Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: 1 <br /> Basement No Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction 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: IL•`1� 2 Date: "J'7,1-')I <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No ) <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 By/Date: i g//S/f a School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 2_0/S— //L C ft W S6C Comments: ry\ z a_ b <br /> Intake OK by: 341Intake OK •�� ►? - Ok to route _ Hold <br /> Make this a"W" Permit? es No <br /> PUBLIC WORKS . <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit ' <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 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent iew(separate green folder) <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 )W Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee , .EIRE DEPARTMENT . <br /> School Mitigation Fee Update/New Sprinklers Yes_ No r Existing Bldg._ <br /> Update/New Detection Yes_ No 7 Existing Bldg. <br /> Update/New Chemical Yes_ No Existing Bldg. <br /> Update/New Fire Service Yes_ No Existing Bldg._ <br /> Approved by: \i Date: c./-1 Z v <br /> Comments: <br />