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• • . <br /> . F®£* •FFICE USE ONLY PERMIT# <br /> DUI(LDING PLANNING' <br /> Bldg/TI/Addn/Rem Size /0/7 5, Zoning Classification <br /> Garage Size r SI Overlay/Agreement <br /> VALUATION /7 , g06 Nonresidential Use <br /> Number of Stories .D Residential Use <br /> Occupancy Group .la Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Notj Yes Fin /' Unfin Landscape or Planning Inspection <br /> Type of Construction Y R needed before final? Yes 7- No <br /> Existing Sprinkler System? Yes ' No Unk Planning Inspector: 4 4s'-ry <br /> Fire Sprinkler Required Yes)( <br /> No Phone#: t j 2.-5-- 2'7 73 7 <br /> Reason 1es��1'�Is' L !®j,: Appro : ate: 6, t 5 15 <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,14 <br /> Enclosure Law Applies ' Yes #of Net New Units: !!���1 �7� <br /> Deferred Submittal Req'dj�Y,es No Calculated School Impact Fee: -4 l g-(0 <br /> Approved by: �t' Date:5/5 '/7 School Impact Fee Credit: -----, <br /> Comments: G- f <br /> of5 ,mac pilyeZ Total School Impact Fee Owed: 2_T-2?. <br /> Comments: <br /> Intake OK by: <br /> Intake OK by: <br /> P„IJBLIC WORKS l <br /> I FEES I INTAKE: Checked By: t / Date: 441 <br /> Plan Check Fee . Comments:'�a 8itck ttnnM has a. ,saii PGtI' ' <br /> Building Permit ; finxitbri —el(di at hot. <br /> Q '1`' t; wer, Ay.S t Z& <br /> Surcharge High�Haz Sites Den of 1,Me•ic., n Is,Mortuary,etc-Review for RPBA) . <br /> 9 <br /> Additional Plan Check 0 Public Works I Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee IN Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 10 Public Works Permit-Concurrent Review(separate preen folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:jEi Date: a/gl Qd(i- ' L° 0 <br /> Water Fee • '*1 PW Permit Approved-PW Y <br /> x <br /> / c6 <br /> Sewer Fee ligSee PW Review Worksheet-Aar Lava 4n E4(e c i ieI) p 1 <br /> Systems Dev.Fee • 0 PW Permit Not Required yflgs7EkSt E,A)/ ©2-Clg <br /> Traffic Mitigation Fee *uS_ Sf Z S-tcrif+ IN] Fcl , rde ario 40% <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 />