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FOR OFFICE USE ONLY PERMIT 1#1 ,(302,- o 2?j <br /> BUIL DING PLANNING <br /> Bldg/Tl/Addn/Rem Size Zoning Classification - I <br /> Garage Size 450 Overlay/Agreement <br /> VALUATION 2_2 (bS® Nonresidential Use <br /> ` <br /> Number of Stories , Residential Use <br /> Occupancy Group tA 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 g needed before final? Yes_ No 14. <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by: 15 Date: 77-7/1-Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ Nd <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: f/24/45 School Impact Fee Credit: --- <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 2 p /6" 1g,e, Comments: <br /> X3-4- iNdr <br /> Intake OK by: Intake O by:l Ok to route _ Hold j <br /> Make this a"W"Permit? Yes No <br /> 'PUBLIC WORKS <br /> FEESBy: VL ii <br /> INTAKE Checked � Date: 2 <br /> Plan Check Fee Comments: toff arra • <br /> s Ebe.-l� ) - cQ-dmd w/ply '' <br /> Building Permit Ni ^� ' / 1! G{It� ( �- <br /> Surcharge High HAA) andSites(Dental7Medical, 'nima�-ls,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee ra Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent evi w(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Fib' Date: 5-11-_'ZO( <br /> Water Fee PW Permit Approved-PW J$Orj-Ot -^inelUa€Q Ut.t <br /> Sewer Fee 0 See PW Review Worksheet/4A els 'Cbidt <br /> Systems Dev. Fee 0 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 / xisting Bldg. <br /> Update/New Chemical Yes_ No 7 isting Bldg._ <br /> Update/New Fire 'ervice Yes_ No Existing Bldg. <br /> Approved by: ,,,,f - Date: 11-24-1A„ <br /> Comments: , 1 <br />