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FOR OFFICE USE ONLY PERMIT# C 1(00(4 '-OL/O <br /> BUILDING PLANNING <br /> I I I/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION O Nonresidential Use <br /> Number of Stories 3 Residential Use <br /> Occupancy Group / */I*1 Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No j Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction Jr-8 needed before final? Yes)< No <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: ViQl' e_j_ � <br /> Fire Sprinkler Required Yes No Phone#: L(ZS--Zs- 7— 2--`7<— <br /> Reason <br /> -'7<Reason Approved by: 4,'m Date: 1Z-15—/(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 'X Mukilteo School Dist <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submittal Re 'd Yes No Calculated School Impact Fee: ,23 0 to <br /> Approved by: c./�l Date:/ 444 School Impact Fee Credit: <br /> Comments: to/ /fic Total School Impact Fee Owed: -$4 -- JZ30 rv" <br /> !� y Comments: <br /> Intake OK by: <br /> Intake OK by: <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: �f Date: )2-2016 <br /> Water Fee PW Permit Approved-PW /4/2 -0 3 <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 />