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FOR OFFICE USE ONLY PERMIT# ( s1 - 0692 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size fOozc-b{- t 6 Overlay/Agreement <br /> VALUATION 40 5C, Nonresidential Use <br /> Number of Stories 1 Residential UseOccupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No i Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction -7-5 needed before final? Yes_ No X <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approved by: 11-1, Date: q -1 9--fr( <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes_ No 'X <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: att �1 i // School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: l6.- � L Comments: L5 ��-0 t--7 <br /> Intake OK by: ()itIntake OK by: V-‘1" Ok to route )( Hold _ <br /> Make this a"W"Permit? Yes No <br /> P BLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: Lu_"s-"f>>? t(��,j®vE cpoc6 <br /> f .n.! <br /> Building Permit 4 st b/ott sz /7u ef Ell T r <br /> Surcharge Hig)Hazard Sites(Dental/Medical,Animals,Mortuary,etc- eview for RPBA) <br /> Additional Plan Check ka,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-Concurre Review(separate gre n fol r) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: ?- <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee RPW 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 />