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• • <br /> FOR OFFICE USE ONLY PERMIT# C (70 i'"d( <br /> :UILDING PLANNING <br /> Bldg/TI/Addn/Rem Size it)/7 5". Zoning Classification <br /> Garage Size `j4 P. Overlay/Agreement, � <br /> VALUATION /Aa9 Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Via Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No IV Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction • needed before final? Yesf 7- No c_ <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: ,_\7i 4°Uf v <br /> Fire Sprinkler Required YesS No Phone#: ti 2,5" 2 -7 7,3 7 <br /> Reason 1 1A6 67PC Appro ate: Celt t �j 1 5 <br /> Existing Fire Alarm Yes • No Unk Historic Approv d by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes )1% 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: �/-1 ion- OD <br /> Approved by: Date:9/5//7 School Impact Fee Credit: <br /> Comments: 2Loi5 /eC , j, Total School Impact Fee Owed: 2 7�. etI�� Comments: <br /> Intake OK by: <br /> Intake OK by: — <br /> I PnUULIC WORKS <br /> FEES INTAKE: Checked By: Date:t 1 fri.ff_ci 'c <br /> e`a� <br /> Plan Check Fee Comments: BulId Permit has . s� all _„__QJ <br /> I —e4cA will Ws <br /> Building Permit tth Q� FR� -F-`1�, <br /> 1;,• . m sewer ais dviv <br /> Surcharge High H Sites Den of I,Me.c., ,nimals,Mortuary,etclReview for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev I Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 24 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:, E' Date: 021 6/UR— . 1rO o <br /> Water Fee • ?:4 PW Permit Approved-PW q <br /> Sewer Fee DI See PW Review Worksheet_A�dr� In chbid(Z cePleI) ce <br /> Systems Dev.Fee ❑ PW Permit Not Required mp g j 80/602—Qyg <br /> Traffic Mitigation Fee *USE- S$R. SHfi " IN] FotA 6f, Cr10i-11o8 <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 /> -F,�5 II tutaky Pw i(,g 0 Vf z/ <br />