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FOR OFFICE USE ONLY PERMIT# C` S �O <br /> BUILDING <br /> g/)I/Addn/Rem Size /Z760 Zoning Classification --3 <br /> Garage Size 6,5-F , S Overlay/Agreement <br /> VALUATION /775 3,0 Nonresidential Use <br /> Number of Stories Z Residential Use 'E ) I L� <br /> Occupancy Group � Proposed No. of Dwelling Units: J Til)ITi C J L. <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No Yes_ Fin / Unfin _ Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes No <br /> Existing Sprinkler System? Yes No Unk_ Planning Inspect a <br /> Fire Sprinkler Required Yes_ No_ Phone#: 4 - 25 - C / <br /> Reason Approved b ! I Date: i'G 1 <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 Muk' -= "c ool Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes No_ #of Net New Unit • <br /> Add'!RCW 64.55 docs required prior to final?Yes_ No_ Calculat-= chool Impact Fee: <br /> Architectural Approved By/Date: cd-g-,. (9//f3/)5-- Sc ool Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: ' <br /> Comments: Zois f G *. s-sec - Comments J �l OU3 JT `pePA tld i �o cam, <br /> Intake OK by: Intake OK Ok to route _ Hold _ <br /> Make this a"W" Permit? Yes_ No n <br /> PUBLIC WORKS <br /> `FEES INTAKE: Checked By: ,L-',a Date: 5----//-1 7 <br /> Plan Check Fee <br /> nt <br /> Comm`ents: <br /> Building Permit Y 4/2G./e4- tui`` 6e /�f''0✓/ �✓ <br /> riz,v'rs� PCO71 PLCoh—Stiow a ofh <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 El Route for Public Works Reviewbldg folder. PW Wor(sheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: 13 Date: 5 -/6 "/7 <br /> Water Fee PW Permit Approved-PW 1701,—OO2.-. <br /> Sewer Fee 0 See PW Review Worksheet <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: 2/7C1 <br />