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FOR OFFICE USE ONLY PERMIT# C nos7--00 1 <br /> BUILDING <br /> PLANNING <br /> •• I/Addn/Rem Size )5y3 5' Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use ` �� - <br /> Number of Stories t Residential Use SC( C b; 1-�lMit ) <br /> Occupancy Group g. Proposed No. of Dwelling Units: Qom{ <br /> Occupant Load Total No. of Dwelling Units: 4.14 <br /> Basement No Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction Tic needed before final? Yes No "k <br /> Existing Sprinkler System? Yes No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes— No_ Phone#: <br /> Reason Approved by: ( Date: Bio\ ' tOl-3,- <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 /> Addl RCW 64.55 docs required prior to final?Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: a/v/ School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: to/s- tgc Comments: <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes No <br /> PUBLICWORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <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.I RPBA- NOT REQUIRED <br /> Plumbing Fee 0 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 PW REVIEW: PW Reviewer: Date: 67/ <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee C PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee _ FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes_ No 7 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: ....0,A,.,---- Date: .41-7-1"7 <br /> Comments: <br /> U14.... <br />