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FOR OFFICE USE ONLY PERMIT# U flO 1'DZ2 <br /> BUILDING PLANNING <br /> :Idg iI/Addn/Rem Size /782- 474 Zoning Classification .-- I <br /> Garage Size qq 7 ,S/� Overlay/Agreement <br /> VALUATION Z27/ /5-9 Nonresidential Use <br /> Number of Stories 2. Residential Use i{4,(, Sri- <br /> Occupancy <br /> Group P2/ Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No.2K Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction p needed before final? Yes X No <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: Illeis 1-1p-a <br /> Fire Sprinkler Required Yes No Phone#: itZ,c-2,S I- 1 <br /> 457/ <br /> Reason Approved by: �. J d Date: <-11--11 <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 ?S Mukilteo School Dist <br /> Enclosure Law Applies Yes #of Net New Units: ' <br /> Deferred Submittal Req'd Yes_ No_ Calculated School Impact Fee: b Q50 <br /> Approved by: <I/A Dates///Z School Impact Fee Credit: <br /> Comments: /j i,L it WS-AC,.. Total School Impact Fee Owed: CO q50 <br /> Comments: 540 OSI -OIZ <br /> Intake OK by: PW <br /> Intake OK by: ahj //z°/7 <br /> PUBLIC WORKS. <br /> FEES INTAKE: Checked By: 75-;43 Date: l"2.0"1 7 <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 ,Public Works Permit-Concurrent Review(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 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 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 -1v+e kG.),e.s, 5kc7,0� c?_e_c_0,.›\M <br /> C.a.-At..e. - t vs•VV.: A--ga 40 / rik LI LS=L S-7"'9 y <br />