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FOR OFFICE USE ONLY PERMIT# VA/0 1 tQ I I- WW2 <br /> BUILDINGPLANNING <br /> Bldg/TI/Addn/Rem Size SO70 1 Zoning Classification )Z—3 <br /> Garage Size Overlay/Agreement CF-•tk <br /> VALUATION - ) COO <br /> el V Nonresidential Use <br /> Number of Stories DG.. Residential Use 'I <br /> Occupancy Group X 3 Proposed No.of Dwelling Units: <br /> Occupant Load 0 JA Total No.of Dwelling Units: <br /> Basement No_ Yes Z<(:)/ Unfin Landscape or Planning Inspection <br /> Type of Construction 1/'a needed before final? Yes_ No 1..---- <br /> Existing Sprinkler System? Yes_ No/ Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No / Phone#: —, <br /> Reason Approved Date: 3/(/1 <br /> Existing Fire Alarm Yes_ No / Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No I School Mitigation Reqd? Yes_ No <br /> Reason Everett School Dist Mukilteo School D. <br /> Enclosure Law Applies Yes ) #of Net New Units: <br /> Deferred Submittal Reqd Yes No / i Calculated School ..ct Fee: <br /> Approved by: rLe Date: i fiVi)' School I •: Fee Credit: <br /> Comments: T. : School Impact Fee Owed: <br /> Comments: <br /> U <br /> • <br /> Intake OK by: Vi Did 1hW <br /> Intake OK by: V� OW \h <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: �'1 / <br /> Building Permit No \ Vv S -gr< <br /> Surcharge High Hazard Sites(venial,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-Concurr t Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: 12-P6/4 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet,J` <br /> Systems Dev. Fee =4 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 />