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FOR OFFICE USE ONLY PERMIT# Q21A \--168'b03 <br /> BUDDING " PLANNING. <br /> Bldg/TI/41:01,4011.ize S $;K /L't.S" Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION '2-1 <br /> r37' Nonresidential Use <br /> Number of Stories ++ 1 Residential Use 3.Wit` <br /> Occupancy Group Lt Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No tYes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No t.....--- <br /> Existing Sprinkler System? Yes No_Unk_ Planning Inspector. <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved :r: 101107. Date's/'Ral L'i- <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No_ <br /> Reason Everett School Dist Mukilte. _ .ol Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No_ #of Net New Units: <br /> Add!RCW 64.55 docs required prior to final?Yes_ No_ Calculated - ool Impact Fee: <br /> Architectural Approved By/Date: 9//3// S •.. Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 20 is ` Comments ' -.65 *U,f t.Si <br /> 522 Cl 44) da-VAJOAV,10() <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W" Permit? Yes IX No <br /> PUBLIC WORKS <br /> • FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <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 0 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: l�1 Date: 8-2/^/ 7 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee ,I 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_ Existing Bldg._ <br /> Update/New Fire Service Yes_ No Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br />