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0 • <br /> FOR OFFICE USE ONLY PERMIT# C1 (a cl'" 00 <br /> BUILDING PLANNING <br /> Bldgrr Addn/Rem Size /C(U Z. S� Zoning Classification R —Z <br /> Garage Size .3 2 S// Overlay/Agreement '— <br /> VALUATION 1421 O I C Nonresidential Use f� I <br /> Number of Stories a Residential Use �jr�- — Ctti e.�' <br /> Occupancy Group Proposed No. of Dwelling Units: ----- <br /> Occupant Load Total No. of Dwelling Units: 1 <br /> Basement No e Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes ,t",No <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: ) s 1.1 . <br /> Fire Sprinkler Required Yes No Phone#: L j -z-c1— ill c/\ <br /> Reason Approved by: y._. (1 Date: 9-41-I`‘ <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: — <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes No X <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submittal Req'd Yes No Calculated School Impact Fee: <br /> Approved by: Date:gAoj7 School Impact Fee Credit: <br /> Comments: Z 0 /S // c 4 41J SEC. Total School Impact Fee Owed: <br /> Comments: iI_ T 1-1-OI1 <br /> �1 L A& 7,011 O i 13b ZOO <br /> i1y Intake OK by: <br /> Intake OK by: t <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: KB Date: 1 J- I-I b <br /> Plan Check Fee Comments: . <br /> AppLicAr-F marked qh exepl'a6Le <br /> Building Permit C{roinclye provision nh plate . <br /> Surcharge High Hazard Sites(Dental,Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA- NOT REQUIRED <br /> Plumbing Fee rgRoute for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee at Public Works Permit-Concurr nt Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: ik^q—'?Ol8 <br /> Water Fee 0 PW Permit Approved-PW Sewer Fee CISee PW Review Worksheet 1 fs'r / ` ��,,,,ff��-I0 `�"LZ h.L'/ <br /> Systems Dev. Fee PW Permit Not Required/bulldtn5 �fif�hrr d171 -- . <br /> Traffic Mitigation Fee <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 /> Z4 <br />