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6301 - C®k''/'igr--1 FOR OFFICE USE ONLY PERMIT# &('7 De/ 07/11 <br /> BUILDING . ` �� PLANNING. :.!� <br /> Bldg/TI/Addn/Rem Size Zoning Classification �Z <br /> Garage Size 000 _s_r. Overlay/Agreement <br /> VALUATION 'i-s 000 Nonresidential Use <br /> Number of Stories Residential Use �J <br /> Occupancy Group 1r Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: I r(?"- <br /> Basement No Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction TEE needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: ------- <br /> Reason Approved C� Date: Ill <br /> Existing Fire Alarm Yes No_Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No V <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!RCW 64.55 docs required prior to final?Yes— No Calculated School Impact Fee: <br /> Architectural Approved By/Date: c/j' (o/12/[ School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: z C /S /RC Comments: Te h>< �S"urve regae 2eiuKn� <br /> P�fr �iI r1G4, ? AY 4 7--a m'Y)/.=-2 <br /> Intake OK by: Intake OK by.c=-- Ok to route V Hold _ <br /> Make this a"W"Permit? Yes NoX <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: A:4? Date: 9-/3 /7 <br /> Plan Check Fee Comments: d,ea c/ 74'0 fare'./;2 <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 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 W REVIEW: PW Reviewer: `Date: <br /> Water Fee W Permit Approved-PW ?tit) 1� \O rz�)b Fa Ai) <br /> Sewer Fee See PV\TTaviewVWorksheet 11 <br /> Systems Dev. Fee 0 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 /> A bt re) u,i <br />