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• • . <br /> FOR OFFICE USE *GUY PERMiT# a( 70 ( O1,k <br /> BUILDING PLANNING . <br /> Bldg/TI/Addn/Rem Size /0/7 Zoning Classification <br /> Garage Size T4 5� Overlay/Agreement <br /> VALUATION I Nonresidential Use <br /> Number of Stones .D Residential Use <br /> Occupancy Group glii Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No yi Yes_ Fin I Unfin Landscape or Planning Inspection <br /> Type of Construction ' needed before final? Yes No_ <br /> Existing Sprinkler System? Yes No Unk_ Planning Inspector: ,34`.,7/6%‘. file/ <br /> Fire Sprinkler Required Yes No Phone# a Z-Lim 2 / �-� <br /> Reason i//,11Sz: Cope Approlk'c11a • ate: (�/ t p <br /> 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 <br /> Enclosure Law Applies ' Yes— #of Net New Units: "p �7 <br /> Deferred Submittal Req'd Yes No Calculated School Impact Fee: Z 11o�- CO <br /> Approved by: Date: j&//7 School Impact Fee Credit: ------ <br /> Comments: •7/ /z 5 G ( Total School Impact Fee Owed: 2-9-7?. CV <br /> G-v � <br /> Comments: <br /> Intake OK by: <br /> Intake OK by: <br /> i - PUBLIC WORKS . <br /> FEES I INTAKE: Checked By: DDatte: lift '91 <br /> Plan Check Fee Comments: Eckel, ow- Piti' has a. Sb go pc, iv <br /> Building Permit-F'�, �r�, <br /> J IX —earl'tag hw- <br /> Surcharge High H Sites Den of 1,Me.c.I, ,nimals,Ni�ortuary,etc swer lReview for RPBA) <br /> Additional Plan Check 0 Public Works I Sys Dev/Traffic Mit.I RPBA-NOT REQUIRED <br /> Plumbing Fee A: Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:jE- Date:_21 o <br /> Water Fee • ',74 PW Permit Approved-PW <br /> cd c6 <br /> A <br /> Sewer Fee iglSee PW Review Worksheet- 1 rU L 4redrs InciWIec!f(2 co Mai g <br /> Systems Dev.Fee 0 PW Permit Not Required /Y1 TEkS(1 IWI60d--0/18* <br /> Traffic Mitigation Fee )1/4-OSF- SilZ.&5H&r N1\] RtA, ' ruti CM-00% �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 /> -3(04/1e,€I cl k P' i&D g,9 VS' r aN <br />