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FOR OFFICE USE ONLY PERMIT# 1103- O� <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size / Zoning Classification -13•10) <br /> 0 <br /> Garage Size i Overlay/Agreement 0 <br /> VALUATION IOU [e r Nonresidential Use ‘rP1-e--s <br /> Number of Stories $`'' Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: --- <br /> Occupant Load Total No. of Dwelling Units: -�� <br /> Basement • Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No <br /> Existing Sprinkler Syste- ? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Re••ired Yes_ No_ Phone#: <br /> Reason Approved by: 11.„ Date: J — 72,1-7 <br /> Existing F - Alarm Yes_ No Unk_ Historic Approved by: Date::/ <br /> Fire .rm Required Yes No School Mitigation Reqd? Yes No X <br /> eason 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: (A . (-�fl `) Date:4 24(7 School Impact Fee Credit: <br /> Structural Approved: 40 / Date: "3 Total School Impact Fee Owed: <br /> Comments: (t-00E- , �. / Comments: <br /> C IJ CCS �✓� <br /> N n Oh1'0exic )s of e- f ) l –010 <br /> F-0(1- due <br /> Intake OK by: <br /> Intake OK by: Date: <br /> PUBLIC WORKS <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./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: ng Date: 3- 7-/7 <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee ❑ ee 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 />