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FOR OFFICE USE ONLY PERMIT# Q11.O 1 <br /> BUILDING PLANNING <br /> Bldg/TIdd em Size 2.61 5/ Zoning Classification <br /> 12 r 1 <br /> 64tCF 6 cat/ti, 45(, ,$6 Overlay/Agreement <br /> VALUATION _7 17-2 Nonresidential Use <br /> Number of Stories F�7l Residential Use ` I -- <br /> Occupancy Group g Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: l <br /> Basement No J(Yes_ fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes it:,-*--‘ No <br /> — <br /> Existing Sprinkler System? Yes_ No Unk Planning Inspec I pdiltd_ <br /> Fire Sprinkler Required Yes No Phone#: 1----) j- '.2 9-- ; C'� <br /> Reason Approved . / <br /> ,6 Date:c3 Q/L' <br /> l <br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes— No School Mitigation Reqd? Yes— No <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes— #of Net New Units: <br /> Deferred Submittal Req'd Yes_ No_ Calculated School Impact Fee: <br /> Approved by: Date:3/11)7 School Impact Fee Credit: <br /> Comments: Zc /5- iQ G Total School Impact Fee Owed: <br /> Comments: 1 <br /> Intake K b <br /> Intake OK by: <br /> PUBLIC WORKS. <br /> FEES INTAKE: Checked By: .1& Date: t1317 <br /> Plan Check Fee Comments: '/ <br /> /la ve 7,1-7 dy C11 ee X- fcn" <br /> Building Permit C-'K<,$i"j Cu ye 0-71"-4 On 6 i— 010 <br /> Surcharge High Hazard Sites(Dental,Medical,Animals,Mortuary,etc-Review for RPBA) WI ii <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED 1Y1 <br /> Plumbing Fee 0 Route for Public Works Review(bldg folder Worksheet) � JZ <br /> Mechanical Fee Public Works Permit-Concurrent Rev'-w '� <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:�,1- Date: - - <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee igi 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 /> (... `t <br />