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FOR OFFICE USE ONLY PERMIT# ac5006 <br /> BUILDINGPLANNING <br /> Bldg/TI/Addy ize g-X/Sr/C� Zoning Classification ((- 2- <br /> Garage Size Overlay/Agreement <br /> VALUATION /g0 OOO Nonresidential Use <br /> Number of Stories 2- Residential Use S { , <br /> Occupancy Group X Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No_ Yes m)1 Unfin Landscape or Planning Inspection <br /> Type of Construction 'ZI needed before final? Yes— No I( <br /> Existing Sprinkler System? Yes No Unk— Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by: �� Date: ' f''4 C.to\sr <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_ No_ #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: ( tl - 7/Z//� School Impact Fee Credit: <br /> Structural Approved By/Date: L Total School Impact Fee Owed: <br /> Comments: 00/S-- /AC 14)-SC- Comments:'NC.6A-OZ <br /> d•rn\\Lc 5 ,Na S EMC.\0\,CTA,,, <br /> tv� _ /., .(e-. Inas \oeeA ce-c Q Q-& <br /> Intake OK by: ,.//f6,,.., Intake OK b Ok to route X Hold _ <br /> Make this a"V4"'Permit? Yes No <br /> UBLI WORKS <br /> Y <br /> FEES . . • .I INTAKE: Checked By: Date: 4kitt <br /> Plan Check Fee Comments: , ` xY v"" cr\k(,, p` <br /> Building Permit � S 10,A4,% 0 /Ual at ` <br /> Surcharge High Haza rtes( ental/Mdic , ms,Mortuary,` etc-Review for BA) <br /> Additional Plan Check ni.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 Revi w(separate gr n folder) r` <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: 5 /A IA% <br /> Water Fee 0 PW Permit Approved-PW v <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee ' 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— 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 /> N0 e� c.) <br />