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FOR OFFICE USE ONLY PERMIT# l I®6 - oo4 <br /> BUILDING. PL.ANNIN <br /> Bldg/TI/Addn/Rem Size ?Z 2 Zoning Classification k,— S <br /> Garage Size 77 Overlay/Agreement <br /> VALUATION 4°<-5; /`/'/ Nonresidential Use <br /> Number of Stories Z Residential Use e-•- <br /> Occupancy Group /Z Ji( Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No y Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction ,•V6 needed before final? Yes tl No <br /> Existing Sprinkler System? Yes_ No Unk Planning Inspect T: p Ct <br /> Fire Sprinkler Required Yes_ No Phone#: 2S-- ZS R- - -tics <br /> S <br /> Reason Approved b . Date: I 11I lr- <br /> Existing Fire Alarm Yes_ No—Unk_ Historic Approved by: _ Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes 1/No_ <br /> Reason Everett School Dist 1/1Vlukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No_ #of Net New Units: I <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No Calculated School Impact Fee: 0 • 00 <br /> Architectural Approved By/Date: I/Z.V/& School Impact Fee Credit: I <br /> Structural Approved By/Date: Total School Impact Fee Owed: (p f°150..as <br /> Comments: Z 0/3- az. ki• -, Comments: <br /> Intake OK by: dt-fs. <br /> Intake OK by: Ok to route __ • Hold <br /> Make this a"W"Permit? Yes No X <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: '35 Date: 9//, <br /> Plan Check Fee Comments: NaeR's• ?4„)Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA- NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PEVIEW: PW Reviewer: Date: <br /> Water Fee aPW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required G�{J, AV i7/)?•-0a <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes Ve""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: -tot( cfrit Jwt Date: I-ZS-le <br /> Comments: p,„,1,Jc.46rt rct„N-e4 t3,„,,,,,„, i, -4- <br /> 4cvocf S w-wc «.o�k k1P kas a`Ici 7 f 4A <br />