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• • <br /> • FOR •FF!CE USE ONLY PERMIT# C.,/ / 7(0.—0l0 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size /0/7 $./ Zoning Classification <br /> Garage Size g' efi: Overlay/Agreement <br /> VALUATION /36, g06 Nonresidential Use <br /> Number of Stories <br /> Residential Use <br /> Occupancy Group G 14 Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement . No;leYes_ Fin /' Unfin Landscape or Planning Inspection <br /> Type of Construction g needed before final? Yes 7— No <br /> Existing Sprinkler System? Yes . No_Unk Planning Inspector; ,Y,74oh. jc <br /> Fire Sprinkler Required Yes_ No Phone#: hi Z-S' 4 <br /> Reason I l;t Cepc Appro ate: Ci[ g 1 5 <br /> Existing Fire Alarm Yes_• No Unk Historic Approv d by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes No <br /> Reason Everett School Dist Mukilteo School Dist 'h <br /> Enclosure Law Applies ' Yes� #of Net New Units:Deferred Submittal Req'd Yes No Calculated School Impact Fee: ?/"1pp <br /> ?g- CO <br /> Approved by: die" Date:5/5P 7 School Impact Fee Credit: ....-----. <br /> Comments: G-a7 v f5 tie c f j,�r�' e Total School Impact Fee Owed: 2-97? CD <br /> Comments: <br /> Intake OK by: <br /> Intake OK by: <br /> I %IBLIC WORKS I <br /> FEES I INTAKE; Checked By: / Date: pr <br /> Plan Check Fee Comments: aae Bald P€. nif h& aC sub „ten -- <br /> Building Permit i�-I `r, <br /> —eae4IAiIt[PAM- <br /> NB ��;,,. in sEwer 4! des/ <br /> Surcharge High H Sites Den of 1,Me.c. , ,murals,Mortuary,etctReview for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev I Traffic Mit.I RPBA-NOT REQUIRED <br /> Plumbing Fee & Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate reen folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: E' Date: 4 lr° o <br /> Water Fee • ':I PW Permit Approved-PW q <br /> f c6 CA <br /> Fee <br /> igl See PW Review Worksheet-HAM Lava inked`Z cow/ <br /> Systems Dev.Fee - ❑ PW Permit Not Required m k$ etgff60a—olig <br /> Traffic Mitigation Fee VSE. swz. 5}'H IN F3t-D I ,rd. Ci/oi--ela s.y <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 />