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FOR OFFICE USE ONLY PERMIT# 'CLL.) Lis 2. —Do <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/ err ize 5-sq Zoning Classification P,- <br /> Garage Size Overlay/Agreement -----__ <br /> VALUATION 1 S 5'j Nonresidential Use <br /> Number of Stories ] Residential Use Cama\e.X <br /> Occupancy Group 1'� Proposed No.of Dwelling Units: ©`AQ, <br /> l <br /> Occupant Load Total No.of Dwelling Units: }Q <br /> Basement No;2(Yes i Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction 7-13 needed before final? Yes No 3. <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: --' <br /> Fire Sprinkler Required Yes No_ Phone#: - -- <br /> Reason Approved by: Date: 5/2--+-/Z-OV-4- <br /> Existing <br /> /2-fzo1,'4- <br /> Existing Fire Alarm Yes_ No_Unk Historic Approved by: ------/ Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes k. No <br /> Reason Everett School Dist X Mukilteo School Dist <br /> Enclosure Law Applies Yes_ #of Net New Units: d'e__ <br /> Deferred Submittal Req'd Yes No_ Calculated School Impact Fee: S__■/.,,gp.c) <br /> Approved by: d Date:3////-7 School Impact Fee Credit: _ <br /> Comments: 2.0I5.� 1Qe T II,�rSFe Total School Impact Fee Owed: *�+ 'l3C."O <br /> Comments: <br /> 5 A 'ANS\Q� v _q �� /( P(r S' SV4Awr � <br /> 10/tf. A'pity.b I2/ lf s , a. <br /> • <br /> Intake OK by: <br /> Intake OK by: <br /> PUBLIC WORKS .. <br /> FEES INTAKE: Checked By: 'b', 5 Date: 7///0 <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 Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee '<Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurr eview(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: //1./Z . <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet 3ji De-tie C,e...Systems Dev.Fee K1PW Permit Not Required V /� edU.�,..I7‘_ <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 />