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FOR OFFICE USE ONLY PERMIT I711V-v' 2 <br /> BUILDING <br /> PLANNING <br /> Bldg/TI/Add /Rem Size 2.-CA Ct 1 S Zoning Classification -- " <br /> Garage Size Overlay/Agreement <br /> VALUATION . 1'/ td U — Nonresidential Use -- <br /> Number of Stories aM v <br /> - Residential Use <br /> �n1 <br /> Occupancy Group 1`-""a'" Proposed No. of Dwelling Units: "----, <br /> Occupant Load i Total No.of Dwelling Units: <br /> Basement No A Yes Fin I Unfin Landscape or Planning Inspection <br /> Type of Construction- UQ needed before final? Yes_ No 1.------- <br /> ' Sprinkler System? Yes_ No UnkPlanning Inspector: <br /> Fire Sprinkler Required Yes No X Phone#: ..--,--------- �-j <br /> Reason r,X1STlrltr Approved by �V/` Date: (>/((Ql( ' <br /> Existing Fire Alarm Yes_ No )4 Unk_ Historic Approved by: Date: bbl <br /> Fire Alarm Required Yes No)d School Mitigation Reqd? Yes No _,--r,.- <br /> " <br /> Reason (57(N& Everett School Dist Mukilte�cliool Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes X No_ #of Net New Units: <br /> �� <br /> Add.]RCW 64.55 docs required prior to final?Yes_ No )0 Calculatedool Impact Fee: <br /> Architectural Approved By/Date: /'\Gc E-4\-1.-LAI "7/t 7 (7 ool Impact Fee Credit: <br /> Structural Approved By/Date: % (o /het (.4 Total School Impact Fee Owed: <br /> Comments: 5 P-W f( OlMI 'i 4 (6I- COO 1 Comments: <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes No <br /> PUBLIC WORK <br /> FEES :, <br /> INTAKE: Checked BY: Date: <br /> Plan Check Fee Comments: <br /> Building Permit l4Jj 444) $/4\/ <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 ❑ 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: �� Date:5 18'/7 <br /> Water Fee W Permit Approved-PW ribtrj"'0 <br /> Sewer Fee See PW Review Worksheet <br /> Systems Dev. Fee -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: <br />