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FOR OFFICE USE ONLY PERMIT# 1 7bS--t:0> <br /> BUILDING : PLANNING <br /> Bldg/ 1 ddn em Size Z./ .S, Zoning Classification u-' <br /> eC.-4 / , $, Overlay/Agreement <br /> VALUATION 8 S 1 ` ,/ Nonresidential Use <br /> Number of Stories I Residential Use Pe4 40(1-- <br /> Occupancy Group _/t Proposed No.of Dwelling Units: — <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No )( Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction Tr3 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: y....1‘.(.4 Date: q.-i9- i'45/ <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 /> Ade RCW 64.55 docs required prior to final?Yes_ No Calculated School Impact Fee: <br /> Architectural Approved By/Date: '1/t3'# School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Z0/S //Z gp CJ.S"C Comments: <br /> Intake OK by: dft.' Intake OK by: 1/- Ok to route \A Hold _ <br /> Make this a"W" Permit? Yes_ No. <br /> P BLIC WORKS . <br /> FEES INTAKE: Checked By: Date: /f t,t <br /> Plan Check Fee Comments: `Q C2 ` ®� <br /> Building Permit PO C4 -. cWerrk- terZcEi e ericis <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 ig 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:lw Date: 8 z-o//8 <br /> Water Fee ®-PW Permit Approved-PW /808- O4,1 <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee l' <br /> Public Works Fee FIRE DEPARTMENT, . , <br /> School Mitigation Fee Update/New Sprinklers Yes_ • _ Existing Bldg._ <br /> Update/New Detection -Y-- No_ Existing Bldg. <br /> Update/New Chemic- Yes_ No_ Existing Bldg. <br /> Update/New F' - Service Yes No_ Existing Bldg._ <br /> Approve, .y: Date: <br /> Co ents: iA/ <br />