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FOR OFFICE USE ONL PERMIT# b '(7o 7 J 0 2... <br /> BUILDINGIN ` <br /> ) PLANNING <br /> [ <br /> BldgfTl/Addn/Rem Size 73 Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION a1 $?7J 1 953 Nonresidential Use <br /> Number of Stories I Residential Use <br /> Occupancy Group " 4Z Proposed No. of Dwelling Units: <br /> Occupant Load .3.� Total No. of Dwelling Units: <br /> a <br /> Basement No2L Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction .4 1 needed before final? Yes_ No 7 <br /> Existing Sprinkler System? Yes No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes / No Phone#: <br /> Reason Approves t Date: //2L/ / .7. <br /> Existing Fire Alarm Yes / No Unk Historic Approved by: Date: - <br /> Fire Alarm Required Yes l 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 No / #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes <br /> � No / Calculated School Impact Fee: <br /> Architectural Approved By/Date: [ ,_ ; i1' School Impact Fee Credit: <br /> Structural Approved By/Date: �i f° 2-03 Total School Impact Fee Owed: <br /> Comments: Comments: 47,2.4 ,pt ui4Qi e-1f <br /> I?C( 4°' <br /> 1144- ' of b //h1- ' iAt/Icf S/fea��- <br /> a1i-ie. vb /S`'G€-�i�'75, <br /> Intake OK by: .412 Intake OK by: Ok to route _ Hold <br /> Make this a" Permit? Yes No <br /> P BLIC WORKS <br /> FEES INTAKE: Checked By: Date: ' y • <br /> Plan Check Fee Comments: Ivo <br /> o rl�/t , ' _ _t_ <br /> Building Permit suet_ <br /> Surcharge Hig 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 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurren Review(separate green fold r) <br /> Ping Bldg Review FeePW REVIEW: PW Reviewet,; E Date: <br /> _ <br /> Water Fee 0 PW Permit Approved- PW <br /> Sewer Fee ❑,See PW Review Worksheet <br /> Systems Dev. Fee 4.PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Upda New Sprinklers Yes )( No_ Existing Bldg <br /> Ng)/New Detection Yes JI_ No_ Existing Bldg. <br /> ate/New Chemical Yes_ No_ Existing Bldg. <br /> Update/New Fire Se ice 7( s_ No Existing B dg. <br /> Approved by: Ur dr 77e;--- Date: 4 .2 i7 <br /> Comments: <br /> "1I <br />