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FOR OFFICE USE ONLY PERMIT# sl)1-76.1 --61--)1 <br /> BUILDING ! PLANNING. <, <br /> Bldg I/Addn/Rem Size L 1 O 6O 4 Zoning Classification l -2- <br /> Garage Size 1 Overlay/Agreement <br /> VALUATION 010i M Nonresidential Use 4 5 54'h'- <br /> Number of Stories / Residential Use <br /> Occupancy Group I Proposed No. of Dwelling Units: <br /> Occupant Load 14 /A Total No.of Dwelling Units: <br /> Basement No'ig Yes_ Fin / Unfin Landscape or Planning Inspection / <br /> Type of Construction V " l l needed before final? Yes_ No V <br /> Existing Sprinkler System? Yes No e Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No - Phone#: <br /> Reason Approved 6„... ]ri Date: O( 2_5 <br /> i/-1.-- <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 School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ N `' #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes— No 7� Calculated School Impact Fee: <br /> Architectural Approved By/Date: / /11/A- f 7 School Impact Fee Credit: <br /> Structural Approved By/Date: 4.40'1 ) ' � l 1-4— Total School Impact Fee Owed: <br /> Comments: • Comments: __,_.__ <br /> . — <br /> Intake OK by: . ..::t/23/t�� Intake OK by: Okto route Hold <br /> Make this a" " ermit? Yes 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: A'S Date: 9'-g?-/7 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee g 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 A. Existing Bldg. x <br /> Update/New Chemical Yes_ No f Existing Bldg.A. <br /> Update/New Fire Se ice Yes_ No ,t_ Existing Bldg.2 , <br /> Approved by: 3 ij Date: J 0//1//7 <br /> Comments: <br />