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FOR OFFICE USE ONLY PERMIT# C_A -0 - 02,C, <br /> BUILDING PLANNING <br /> Bldg/Tit/fp/Rem Size m7 $/ Zoning Classification Z.-2 <br /> Garage Size Overlay/Agreement <br /> VALUATION 45 T9/ Nonresidential Use _ <br /> Number of Stories / Residential Use SrlL-- <br /> Occupancy Group f2 Proposed No.of Dwelling Units: -- <br /> Occupant Load Total No. of Dwelling Units: 1 <br /> Basement No 4eYes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction 3'13' needed before final? Yes_ No 3,------. <br /> Existing Sprinkler System? Yes No Unk_ Planning Inspector: --- <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved b}(+0 Date: 2 j O/)q— <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 Mukilteo Sc •. list <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No_ #of Net New Units: <br /> Addl RCW 64.55 docs required prior to final?Yes_ No Calculated School I •=-ct Fee: <br /> Architectural Approved: Date;Jj47 School I •- Fee Credit: <br /> Structural Approved: Date: • - School Impact Fee Owed: <br /> Comments: 2 0/S- lj'c # 5o� Comments:1L B 15-.....6114 <br /> ,} Intake OK by. <br /> V <br /> Intake OK by: I 1' Date: 130/17 <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: 1 - / <br /> Plan Check Fee Comments: Do jn o-td -to rattly `%n t1 ni J amG <br /> Building Permitee6 M v (Pleleft �/ �f _/1“ <br /> ct <br /> Surcharge High Hazard Sites(Dental,Medical,Animals,Mo�tffuary,etc-Review for RP A) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee X Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate g een folder) <br /> Ping Bldg Review Fee P REVIEW: PW Reviewer: 9J F..,1- Date: , 0 <br /> Water Fee PW Permit Approved-PW Ila^©SR. = _— <br /> Sewer Fee 0 See PW Review Worksheet1011- Enfl s M 641 'f ie, <br /> Systems Dev. Fee 0 PW Permit Not Required J <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 />