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FOR OFFICE USE ONLY PERMIT 111Cat t O-'O <br /> BUILDING PLANNING <br /> Bidg/TI/Addn Re Size (VD( VC SF Zoning Classification (... -16-5 <br /> Garage Size Overlay/Agreement <br /> r <br /> VALUATION "'0/000 Nonresidential Use ' <br /> Number of Stories Residential Use <br /> Occupancy Group 12-•.-' Proposed No.of Dwelling Units: <br /> Occupant Load VAti-le5 Total No.of Dwelling Units: <br /> Basement No_ Yes Unfin Landscape or Planning Inspection <br /> Type of Construction `g needed before final? Yes— N. <br /> Existing Sprinkler System? Yes A No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason DO MO }.al' Q D4P.) Approved by: Date: <br /> Existing Fire Alarm Yes) No Unk ✓✓ Historic Approved by: Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? es No_ <br /> Reason �eryy01Th'Un fes)” Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submittal Req'd Yes_ No Calculated Schoo Impact Fee: <br /> Approved by: TYNE() \hpt%.f>4\ Date: N1/'ip School Impact Fee Credit: <br /> Comments: a L}'� U Nii Total School Impact Fee Owed: <br /> DEMO alt- - c(1V Comments: (Y( — <br /> k S I It Pip f901/1,3P . - , No lux-I- -to2 <br /> L (1 I ITS (rep/ SP(LIN) Leik-/ Intake OK by: y <br /> !Intake OK by: M«' 4 INL.A(L/M <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 ❑ 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 0 PW Permit Approved-PW <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 X No Existing Bldg./' <br /> Update/New Detection Yes A No Existing Bldg.g <br /> Update/New Chemical Yes No,< Existing Bldg.)( <br /> Update/New Fire Service es_ No�.. Existing Bldg. X <br /> Approved by: '1 Date: ///3/).6 <br /> Comments: Tx-i f Sri e1 / <br />