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FOR OFFICE USE ONLY PERMIT# (/Ill t'QOV <br /> . .:BUILDING f PLANNING .. <br /> d' l/Addn/Rem Size ,(j 2 a .A., Zoning Classification `� - <br /> Garage Size 40 6 S, . Overlay/Agreement <br /> VALUATION i 3/ 1S¢ Nonresidential Use <br /> Number of Stories 2_ Residential Use <br /> Occupancy Group 12.AA' Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No XYes_ Fin / Unfin Landscape or Planning Inspection \/ <br /> Type of Construction V1/4" needed before final? Yes No <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: / <br /> Fire Sprinkler Required Yes_ No_ Phone#: / I <br /> Reason Approved by: c `-' Date: k2-. I \Cd Z-a\ <br /> Existing Fire Alarm Yes No_Unk_ Historic Approved by: 0 , D ; --- <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes (No )( <br /> Reason Everett School Dist yMukilteo Schc,ol ist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No_ #of Net New Units: 95 <br /> Add!RCW 64.55 docs required prior to final?Yes_ No_ Calculated School Impact Fee: 'tla),'k,00 <br /> Architectural Approved By/Date: cJ// /2.�/BA 7.- School Impact Fee Credit: (0,CI'6-0 .0Q <br /> Structural Approved By/Date: Total School Impact Fee Owed: d , .Q <br /> Comments: C mme ts: I ��. ; t`d c- C,OZ't\-Cts ,rv\\n N vvv� <br /> �i� <$- /fid C t vSr�G sc o\ v2-y Se c\ Al ori i 4 <br /> e 'occVo& �+A\s scdt S- \ s-e c <br /> Intake OK by: IP, Intake OK by( r> Ok to route Y Hold _ <br /> Make this a"W"Permit? Yes_ No 'u <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: :ye Date: //"-2./-/ 7 <br /> . dawait- /"e (QCee0,r /4eecfc ' <br /> Plan Check Fee Comments: — P "76' <br /> Building Permit _ hew ct - `tea, O'62/'� ,�[[ 1,vrt.L uf. <br /> --�iq afrYOed dp'crrfrJQ on 1.06:e ter <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 y❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee til Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: til%/to(b <br /> Water Fee 1211;\-NPPermit Approved- PW ( i I -0Z5 <br /> Sewer Fee 0 See PW Review Worksheet S%f'ie dd v 7 ©Qv <br /> Systems Dev. Fee 0 PW Permit Not Required L'4 `' t?ke , <br /> do � tJZa", <br /> Traffic Mitigation Fee Wave eve/endep7F' Leo I 30 " <br /> Public Works Fee 'f S"rv`c FIRE DEP ` TMENT <br /> J <br /> School Mitigation Fee Update/New Sprinklers Yes rNo Existing Bldg. <br /> Update/New Detection Yes_ No / Existing Bldg. <br /> Update/New Chemical Yes_ No / Existing Bldg._ <br /> Update/New Fir Service Yes <br /> p No / Existing Idg. <br /> Approved by: e„,.-- (�C�`� Date: 1)'•)11'011 <br /> Comments: G am‹ ly(OvCt,) , — Flt,—) 7-N. <br /> I ,� .1A-+2-t W c-eb s t oc o f <br />