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• • <br /> • FOR •FF!CE USE ONLY PERMIT#0„,"( 70 t '0 U7 <br /> I'U IILDING PLANNING <br /> Bldg/TI/Addn/Rem Size /0/7 $ Zoning Classification <br /> Garage Size • ' lc 'I Overlay/Agreement <br /> VALUATION / 6, go6 Nonresidential Use <br /> Number of Stories <br /> Residential Use <br /> Occupancy Group gAl Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No, Yes Fin I Unfin Landscape or Planning Inspection <br /> Type of Construction ir,i3 needed before final? Yes 7- No <br /> Existing Sprinkler System? Yes ' No Unk Planning Inspector: ,j 7L\ \a <br /> Fire Sprinkler Required Yes$ No Phone#: ef` 2-473 <br /> Reason 'lam � 6006 Approu�itJa : ate: 6. t 4j 1 5 <br /> Existing Fire Alarm Yes , No_Unk Historic Approv d by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes Y•• No <br /> Reason Everett School Dist Mukilteo School Dist "i <br /> Enclosure Law Applies ' Yes— #of Net New Units: �^� <br /> Deferred Submittal Req`d1.Yes No Calculated School Impact Fee: • Ct i 77 W�- <br /> Approved by: Date: /7 School Impact Fee Credit: <br /> Comments: w5 /iC Total School Impact Fee Owed: 2-q7?. co <br /> Comments: <br /> . <br /> Intake OK by: <br /> Intake OK by: <br /> T . Pr,IIBLIC WORKS f <br /> FEES INTAKE: Checked By: E / Date: d h( 14 <br /> Plan Check Fee Comments: am, sa i q P€nnif has a St Rd p� <br /> awn. --eaeh wil( We- <br /> Building Permit ,4 � +�`,ri <br /> rc� :..s• /ri� SF.dsl c-Rev'S <br /> Surcharge High H Sites Dent Me•i .I,'nimals,mortuary, RPBA) <br /> Additional Plan Check ® Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> +: Route for Public Works Review(bldgfolder, PW Worksheet <br /> Plumbing Fee ) <br /> Mechanical Fee I® Public Works Permit-Concurrent Review(separgte preen folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:, /E5-- Date: a/Rif ed(3-- " 03 o <br /> Water Fee • * PW Permit Approved-PW t <br /> Sewer Fee � See PW Review Worksheet_Ra�l� L `'� <br /> c .�E4t(2 Cai d� g <br /> Systems Dev.Fee • . 0 PW Permit Not Required Jyj _S( .SOR-'Qig <br /> Traffic Mitigation Fee *USE. SfIZts k tt\i F U- r rC'I10!-eO <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 />