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FOR OFFICE USE ONLY PERMIT# C I!0010—()4Z <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 1,6, --9( Zoning Classification R- :'' <br /> Garage Size g,j Overlay/Agreement <br /> VALUATION 2 3'2 69'3 Nonresidential Use <br /> Number of Stories Residential Use ✓T K-- <br /> Occupancy Group Proposed No.of Dwelling Units: 1 <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 Inspector: A J')e "_ Ij <br /> Fire Sprinkler Required Yes No_ Phone#: 14'LS--Z57 2-`7C- <br /> Reason Approved by: Date: 17. S—I(p <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 ll <br /> Enclosure Law Applies Yes_ #of Net New Units: 1 ( / <br /> Deferred Submittal Req'd Yes No_ Calculated School Impact Fee: ' 2 <br /> Approved by: Date:/4/z,O//6 School Impact Fee Credit: <br /> Comments: Z0/2._ /eC Total School Impact Fee Owed: )/ Z. Aja <br /> -50 <br /> Comments: / N <br /> Intake OK by: <br /> Intake OK by: <br /> PUBLIC WORKS <br /> FEE$', . INTAKE: Checked By 10 Date: /Z-2O-jA7 <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: Date: <br /> Water Fee ar PW Permit Approved-PW /6/2 --036 <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: <br /> y <br />