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FOR OFFICE USE ONLY PERMIT# eiI10 ( -DO to <br /> BUILDING PLANNING <br /> 'c I/Addn/Rem Size 4D/16 ...5* Classification <br /> Garage Size 3 7(45- Sf-- Overlay/Agreement <br /> VALUATION 62) zs-5 Nonresidential Use <br /> Number of Stories / Residential Use ('k€-o_(. -exi 51--f— <br /> Occupancy Group RAI Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: ' <br /> Basement No ,)(Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction Y-.45 needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: y <br /> Reason Approved by: Y.,-,, Date: 2,—'1' l 1 <br /> Existing Fire Alarm Yes_ No_Unk4 Historic Approved by:� p : 2 /7 <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes No X <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submittal Req' Yes_ No Calculated School Impact Fee: <br /> Approved by: Date: 3/1/7 School Impact Fee Credit: <br /> Comments: <br /> ao/as//�:C 0�� Total School Impact Fee Owed: <br /> Comments: $61-04S1-- Oge.11el..I NU3 16—0I 7 <br /> N9 K-rre.i4gAl <br /> Intake OK byet(_____. <br /> Intake OK by: go 547X-C rk e f:64-4_, <br /> PUBLIC WORKS. <br /> FEES INTAKE: Checked By: Date: (//„....Z' <br /> Comments: D�j <br /> Plan Check Fee �/ ftf l� <br /> Building Permit - �t 4�� <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 1E1 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet U <br /> ^ �`IIV � O� <br /> Systems Dev.Fee 0 PW Permit Not Required , G <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: ,r,-1'rM <br /> Comments: <br /> il3 <br />