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• • <br /> FOR •FFICE USE ONLY PERMIT# 0( 7.0 1 -0 ? <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size /0/7 $ Zoning Classification <br /> Garage Size /IC S Overlay/Agreement <br /> VALUATION /YP Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group tVa Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement . No,U1 Yes Fin /' Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes 7— No <br /> E dsting Sprinkler System? Yes ' No Unk Planning Inspector: _. I <br /> Fire Sprinkler Required Yes)( No Phone#: tj l-5® 2A-- 73 7 <br /> Reason %r1AC 6.:eo6 Appro ate: % t 5 1 5 <br /> Existing Fire Alarm Yes • No Unk Historic Approv d by: Date: <br /> Fire Alarm Required Yes— No_ School Mitigation Reqd? Yes 7% No <br /> Reason Everett School Dist Mukilteo School Dist " <br /> Enclosure Law Applies ' Yes #of Net New Units:Deferred Submittal Req'd Yes No Calculated School Impact Fee: Ppp ig- CO <br /> Approved by: Date:5/5//7, School Impact Fee Credit: <br /> Comments: OD/5 hec Total School Impact Fee Owed: 2-97p`2. CO <br /> Comments: <br /> Intake OK by: , <br /> Intake OK by: <br /> r ________ <br /> P„UIBLIC WORKS f <br /> FEES 1 INTAKE: Checked By: / Date: <br /> Plan Check Fee .j Comments: Ea Btq,i(di Pwnlf has of Sub f�GtI �' <br /> Building Permit -�-'t ��( gf&tail.s�! willi✓ <br /> >~i 41E44 <br /> Surcharge High�Hez Sites Den at 1,Me.ic.I, •nimals,Mortuary,etc�Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> j► Route for Public Works Review bld folder, PW Worksheet) <br /> Fee ( g <br /> Mechanical Fee ID Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: E5- Date: 2(Rf ea(3""' ' o 0 <br /> Water Fee • '71 PW Permit Approved-PW <br /> Sewer Fee M See PW Review Worksheet-0417.9 Lama incJt 4E4 ZCoPw£I� p <br /> Systems Dev.Fee 0 PW Permit Not Required fim-rER.s(11 _P&/ o2—©'d8 <br /> Traffic Mitigation Fee *VSF. vibstiEtr N RtiDa re, C.1%-ed 1y <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 /> 2/Z <br />