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FOR OFFICE USE ONLY PERMIT# d) I �1--RC1 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification 1-I- <br /> L L <br /> Garage Size -72 a g Overlay/Agreement - <br /> VALUATION 331 <br /> 4(56 6 Nonresidential Use <br /> Number of Stories 1 Residential Use G1Z <br /> Occupancy Group k.A. Proposed No. of Dwelling Units: tt <br /> Occupant Load Total No. of Dwelling Units: 1 <br /> Basement No yYes Fin / Unfin Landscape or Planning Inspection / <br /> _Type of Construction ? needed before final? Yes_ No N,/ <br /> Existing Sprinkler System? Yes No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: fr2_JiReason Approved b Date: Gop" <br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes_ No \,/"..- <br /> Reason <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: 5407/2, School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 2O /!2 c. Comments: `Re.1L 1COc$ <br /> Intake OK by: k___ Intake OK by: ii- Ok to route .L Hold _ <br /> Make this a"W"Permit? Yes_ No X <br /> _ ` • PUORKS <br /> FEES: , INTAKE: Checked By. Date: 21' 0 <br /> Plan Check Fee Comments: 7-2$ CIA i 0E, A6r-12.1112.10 f- Qeo -jitAl,e <br /> Budding Permit P/A)-S SC _ S441014 <br /> 14)19 <br /> High Hazard Sites(Dental/Medical,Animals,Mortuary,e" tc-R iewfo PBA) <br /> Surcharge g rY <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee NI 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 Reviewe :rThDate: 9, It(ol 1 S <br /> Water Fee 121 PW Permit Approved-PW <br /> Sewer Fee R 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_ Exis jng-B4dg._ <br /> Update/New Chemical Yes_ ►- _ Existing Bldg. <br /> Update/New Fire Service _ No_ Existing Bldg._ <br /> Approved by ./ Date: <br /> ;,/1 <br /> Comments: • r <br /> l2- <br /> 0 <br />