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FOR OFFICE USE ONLY PERMIT# Z D(0 —02-0 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 5) 1111 Zoning Classification 9-'7? <br /> Garage Size --- Overlay/Agreement <br /> VALUATION tp.soq t7co Nonresidential Use Gi,•JeGl, -- <br /> Number of Stories e .. Residential Use <br /> Occupancy Group A -3 JE Proposed No.of Dwelling Units: <br /> Occupant Load */ 9?-7 Total No. of Dwelling Units: <br /> Basement No--1.4 Yes_ Fin / Unfin Landscape or Planning Inspection , <br /> Type of Construction 11---74 needed before final? Yes_ No X <br /> 15 <br /> Existing Sprinkler System? Yes_ No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No--"e #: <br /> Reason Approved by: \I-AA Date: ( -Z(,►I <br /> Existing Fire Alarm Yes-NoX Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes, NoN :1/4 .A 0/11755/g School Mitigation Reqd? Yes_ No )( <br /> Reason !! // Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No -75' #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: pg School Impact Fee Credit: <br /> Structural Approved By/Date: `-""°''— Total School Impact Fee Owed: <br /> Comments: Comments: NO GQjcvabn. ol` Jam. or @ckvn <br /> ad <br /> thvxp s (€ie,..)P.0 or o d ari pc& of tt`:na zu-4-- <br /> Intake OK by: �'� L/ (967/0$ Intake OK by: ]'-- Ok to route Hold <br /> Make this a"W"Permit? Yes No <br /> P BLIC WORKS <br /> FEES INTAKE: Checked By: Date: ► _• 41 <br /> Plan Check Fee Comments: � <br /> Building Permit N 1 f�jw G"Ve alit �ase, <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check trErPublic 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 eview(separate gree foyer) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee Ea-PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT. .: <br /> School Mitigation Fee Update/New Sprinklers Yes_ No X Existing Bldg.••C <br /> Update/New Detection Yes X No_ Existing Bldg. x-- <br /> Update/ <br /> Update/New Chemical Yes_ No X Existing Bldg. <br /> Update/New Fire Service Yes_ No X Existing Bldg._ <br /> Approved by:AQ' Date:g.7-l S <br /> Comments: <br />