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FOR OFFICE USE ONLY PERMIT# C l ) I.) 'bbB <br /> BUILDING <br /> Bldg/TI/Ad /Rem ize 412 S" . Zoning Classification '( - t <br /> Garage Size WA Overlay/Agreement <br /> VALUATION '/, FO 2— Nonresidential Use <br /> Number of Stories 2..... Residential Use S\--1\ <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: O <br /> Basement No. Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V 3 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: tl /Va / ZO\ - <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: JJ l kDate: "— <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: /2/43/17 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 20 7$-- /fi_c_ /41S70. Comments: <br /> Intake OK by: d411- Intake OK b __ Ok to route i Hold _ <br /> Make this a"W"Permit? Yes_ to <br /> . . PUBLIC,WORKS <br /> 'FEES , INTAKE: Checked By: .k& Date: 12-1947 <br /> Plan Check Fee Comments: pAi./ perm;it hot/...,eg, for /nferio N 0) <br /> Building Permit -- Ivo 4C,1Ua'lt 0/17ve Alelf/. e/X/sf 1 r 41"1) 10,f <br /> orf +1.745- 4- witi heed perno4 'c�o�s-frvcfen <br /> Surcharge High Hazard Sites(Denta 4-Mie. <br /> AniiiidI ,Mortuary,etc-Review for RPBA) t` <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 Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: SI'' Date: 1 lir) <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee CIPW Permit Not Required e ni140 IY 6L Gni siLi 1- <br /> tili <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: —h <br /> . ( <br /> 11� <br />