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FOR OFFICE USE ONLY PERMIT# L17/Z--DO 3 <br /> BUILDING <br /> PLANNING <br /> Bldg/TI/Addy 2ery�Size S S 1 Zoning Classification -S <br /> Garage Size Overlay/Agreement <br /> VALUATION / ,s-So Nonresidential Use <br /> Number of Stories Z Residential Use (QQ1-0(, S- .. <br /> Occupancy Group /2-A4 Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: l <br /> Basement No_ Yes . * Unfin Landscape or Planning inspection <br /> Type of Construction . Ej needed before final? Yes_ No .x <br /> Existing Sprinkler System? Yes_ No_Unk .)( Planning Inspector: <br /> Fire Sprinkler Required Yes_ No X Phone#: <br /> Reason Approved by: 0.1.c..... (1‘ Date: ' )c6 <br /> Existing Fire Alarm Yes_ No_Link)( Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No J School Mitigation Reqd? Yes No N <br /> Reason / Everett School Dist Mukilteo School Dist <br /> I/ <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: sild. IAt''//ia, School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Zois- /€ : A)Ci Comments: <br /> Intake OK by: Intake OK by: N14— Ok to route Hold <br /> Make this a"W"Permit? Yes_ No y' <br /> P BLOC WORKS <br /> FEES " INTAKE. Checked By:�s Date i7./ tin <br /> Plan Check Fee Comments: .A,,i5i/srcit,e,kaJ &/— <br /> Building Permit eA4/44 bli-c/titrr <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check tiff 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 ev (separate green f Icier) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: Zta <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 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 7 Existing Bldg._ <br /> Update/New Fire Service Yes_ No Existing Bldg. <br /> Approved by: Date: `— tel <br /> Comments: <br /> �/ <br />