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FOR OFFICE USE ONLY PERMIT#C° 2 --D O Co <br /> BUILDING PLANNING <br /> Bldg/TIddn em Size 070 S r% Zoning Classification <br /> Garage Size N/4 Overlay/Agreement <br /> VALUATION 983/0 Nonresidential Use <br /> Number of Stories / Residential Use 'E /PN&A- 00/ANI\\Q Q <br /> Occupancy Group /e Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: C -Q__ <br /> Basement No<Yes_ Fin / Unfin Landscape or Planning Inspection `/ <br /> Type of Construction ,� needed before final? Yes_ No 1� <br /> Existing Sprinkler System? Yes No_Unk_ Planning Inspector: ----- <br /> Fire Sprinkler Required Yes_ No_ Phone#: --- <br /> Reason Approved by:t; ® Date: 1"--k r 1.--Ii—/2-0V-4- <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 -- ool 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 Schoo pact Fee: <br /> Architectural Approved: C4 DateVa//7 School Imp, Fee Credit: <br /> Structural Approved: Date: Total School Impact Fee Owed: <br /> Comments: Zo/ - /mac t Losec, Comments: <br /> Intake OK by:_ __. <br /> Intake OK by: Date: Z/l g//7 <br /> UBLIC WORKS <br /> FEES INTAKE: Checked By: 4- Date: ,, w' Ay <br /> Jp621-714-14::44b <br /> � b - ,, <br /> Plan Check Fee Comments: ! � !'' •` ' ` <br /> Building Permit oy\ �,r��,Y�a�1riaa fa�� r dtlfg ` <br /> ` 11_Al'e-d 4 or, em rnaf need lo be RAW A)A OOsr <br /> Surcharge ig Hazard Si es(Dental,Medical,Animals,Mortuary,etc-Review for RPBA) nu) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED 1/4514 <br /> Plumbing Fee tarRoute for Public Works Review(bldg folder, PW Worksheet) A <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: �f Date: y-1$-200 <br /> Water Fee SI PW Permit Approved-PW nr)Zf-t <br /> 0 See PW Review Worksheet Mit' ,erml4- in IS <br /> Sewer Fee --- -fbfdEr <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee 46.66 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 />