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FOR OFFICE USE ONLY PERMIT 4 b( Tor?-o 31 <br /> . . . BUILDING - N ANNING ' . <br /> Bldg/Tl/Addn m Size 'a-3C S Zoning Classification r-- 4- <br /> Garage <br /> Sizer~ Overlay/Agreement ....___--,- <br /> VALUATION $ 1(6/ 7 U O Nonresidential Use —__— <br /> Number <br /> --'_Number of Stories Residential Use M 1)1--TL i( <br /> Occupancy Group g-'"a"" Proposed No. of Dwelling Units: —"'-"",. <br /> Occupant Load ko Total No.of Dwelling Units: <br /> Basement No)a Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction• VG needed before final? Yes_ No L�''-- <br /> Existing Sprinkler System? Yes— No Unk— Planning Infispector: , , <br /> Fire Sprinkler Required Yes— No 4 Phohe#:' ._--. ------- — �-f <br /> Reason f,NickS(1/\)(3-f'��U Approved by3It (�Date: /l 0/( ` <br /> Existing Fire Alarm Yes— No )0 Unk Historic Approved by: Date: G <br /> Fire Alarm Required Yes No ASchool Mitigation Reqd? Yes— No .•r,.""` <br /> Reason 0((S1(/1/4-kr' Everett School Dist Mukilteg-ScI ooi Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes X) No_ #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No Calculated ool Impact Fee: <br /> Architectural Approved By/Date:n'1 e 0{4,09 7/(7� 1 of Impact Fee Credit: <br /> Structural Approved By/Date: i!.- - Ce 1. ((,'k Total School Impact Fee Owed: <br /> Comments: e) ((-alr &1lU/� 4 (OU>`�` Comments: <br /> � : P <br /> Intake OK by: Intake OK by: Ok to route _ Hold <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS.. <br /> FEES ,. INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit at A:4004/Cat( <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works I Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee ❑ 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: ,{„Q Date:5/8'/7 <br /> Water Fee PW Permit Approved-PW r1 D(o'D`fy <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee f PW Permit Not Required <br /> v - <br /> Traffic Mitigation Fee .. <br /> Public Works Fee IRE 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 />