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FOR OFFICE USE ONLY PERMIT# -- ( (0614 — 055 <br /> BUILDING PLANNING <br /> BldI/ ddn/Rem Size f Zoning Classification C- <br /> Gar a Size -� l Overlay/Agreement <br /> VALUATION 1 L C Nonresidential Use qerzC'I 'O\ -U\i1 -. <br /> Number of Stories Residential Use _ <br /> Occupancy Group ANia -� Proposed No. of Dwelling Units: <br /> Occupant Load / Total No.of Dwelling Units: <br /> Basement No's Yes— Fin / Unfin Landscape or Planning Inspection "� <br /> Type of Construction (/---,g needed before final? Yes_ No <br /> Existing Sprinkler System? Yes No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason Approved byr---)sf-) Date: / ' CP (2-d \7"-i <br /> -73 <br /> Existing Fire Alarm Yes No_Unk_ Historic Approved by: A (k 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_ No7 #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes- _ Ne-7 Calculated School Impact Fee: <br /> Architectural Approved By/Date: G��� jot /6" School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee O d: <br /> Comments: Comments: <br /> Intake OKb y a2 /8Intake OK by: Ok to route _ Hold T <br /> Make this a"W"Permit? Yes No <br /> PUBLIC'WORKS <br /> INTAKE: Checked By: 5 Date: 27;(av <br /> Plan Check Fee Comments: `� <br /> X26),, ie t d- ,L en/. 1 c-9.- <br /> Building <br /> .sLBuilding 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 Public Works Permit-Concurren Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: , Date: 6-1--28 <br /> Water Fee 0 PW Permit Approved-PW j <br /> Sewer Fee .See PW Review Worksheet—S.1S Gk/ Serf-41\014 tai <br /> Systems Dev. Fee 0 PW Permit Not Required �i11,�p Ernktk f£ <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPA TMENT, <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 Fir Service Yes_ No Existing Bldg. <br /> Approved by: Date: -(-30-IS <br /> Cornments: clKt LAr-- C.0c his,c- -la+_v-wti <br /> wa 00 v p �c...4,' TO s- a. ce <br />