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FOR OFFICE USE ONLY PERMIT il. <br /> BUILDING : PLANNING <br /> Bldg/TI/Addn/R Size '501(' SF Zoning Classification r-- 4. <br /> Garage Size Overlay/Agreement <br /> VALUATION A (0/ 'k-S° Nonresidential Use <br /> Number of Stories a- Residential Use Lvt L7 <br /> Occupancy Group (2--a"" Proposed No. of Dwelling Units: `--" " <br /> Occupant Load l 10 Total No.of Dwelling Units: <br /> Basement No)d Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction• UQ needed before final? Yes_ No k- <br /> Existing Sprinkler System? Yes No X Unk_ Planning Irispector: <br /> Fire Sprinkler Required Yes_ No A Phone#: _.--,---7---- f <br /> Reason ' ‘,(‘S(1/0c-,- Approved by: iiiV Date: S/jtil( �' <br /> Existing Fire Alarm Yes_ No )0 Unk_ Historic Approved by: Date: ` <br /> Fire Alarm Required Yes No Yi School Mitigation Reqd? Yes_ No <br /> Reason (S7tNl- Everett School Dist Mukilteg,Sct5ool Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes )4 No_ #of Net New Units:_,,�-"'--- <br /> Add'I RCW 64.55 docs required prior to final?Yes No )4 Calculated I'tool Impact Fee: <br /> Architectural Approved By/Date: (V\ t '7/Ii/17 ool Impact Fee Credit: <br /> Structural Approved By/Date: (.�[P/t� Total School Impact Fee Owed: <br /> Comments: c -4J. e(1,00_,6,1(0, (csu�4-3A-t-rl Comments: <br /> Intake OK by: Intake OK by: Ok to route _ Hold <br /> Make this a"W"Permit? Yes No <br /> PUBLIC WORK :..*.i <br /> •FEES - INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit ail datitYCOY <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 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 P REVIEW: PW Reviewer: kg Date:51.:/8'/ 7 <br /> Water Fee PW Permit Approved PW "titif- <br /> SewerSewer Fee See PW Review Worksheet <br /> y . . <br /> Systems Dev. Fee e W Permit Not Required <br /> Traffic Mitigation Fee ,,:::,- <br /> Public <br /> ;,Public Works Fee 1=llt,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 />