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FOF/ •FF!CE USE ONLY PERMIT# 170( 0 <br /> 1 UILDI,. PLANNING' <br /> Bldg/TI/Addn/Rem Size /0f7 $ Zoning Classification <br /> Garage Size S. Overlay/Agreement <br /> VALUATION /.76,9 go6 Nonresidential Use <br /> Number of Stories .D Residential Use <br /> Occupancy Group Pia Proposed No.of Dwelling Units: <br /> _ Occupant Load - Total No.of Dwelling Units: <br /> Basement No,Ue Yes_ Fin /' Unfin Landscape or Planning Inspection <br /> Type of Construction .,j needed before final? Yes .7 " No <br /> Existing Sprinkler System? Yes ' No Unk Planning Inspector: jai\ \/d <br /> Fire Sprinkler Required Yes)& No Phone#: L 2.-5'- 2—7 fie 73 7 <br /> Reason .16-1{ 6% Ceije Appro : ---Date: Co c fl 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 14 <br /> i Enclosure Law Applies ' Yes #of Net New Units: �I <br /> Deferred Submittal Req'd Yes No Calculated School Impact Fee: " .pp !g- CO <br /> Approved by: Dates)&//7 School Impact Fee Credit: " <br /> Comments: 9 0 t5 tgc i Total School Impact Fee Owed: 2- 7?. co <br /> �-v / ����' Comments: <br /> Intake OK by: <br /> Intake OK by: <br /> P,,UBL,,{{ICWORKS P <br /> FEES INTAKE: Checked By: /-- Date: el <br /> Plan Check Fee Comments: eae Batcti Pwnit hu a sad P p mW <br /> Building Permit 4�/a/ te ; j <br /> hen. e z A(deli t. <br /> Surcharge ; Hightorg H z Sites Den at 1,Mes c.I, •n�ls,mortuary, c6./Rev e7wffoor edn RP A) <br /> Additional Plan Check 1 ® Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> td Route for Public Works Review(bldgfolder, PW Worksheet) <br /> Fee <br /> Mechanical Fee 1 ID Public Works Permit-Concurrent Review(separate preen folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: E,5" Date: 2/41/2015-- • Lo 0 <br /> Water Fee • '�1 PW Permit Approved-PW Y Y <br /> cs cs <br /> Sewer Fee DI See PW Review Worksheet_Atiart0a � inked f2 coOFM g <br /> Systems Dev.Fee - ® PW Permit Not Required nygQ_,S / f(sp�-,r^Q4� <br /> Traffic Mitigation Fee *Use SfizmsHfiet- N FatiDze,►oe C.1101-018. <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 />