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FOR OFFICE USE ONLY PERMIT#_ L to O _ <br /> BUILDING PLANNING <br /> Bldg/T •.f;'em ize 1 S- $ , Zoning Classification R —I <br /> Garage Size .7'f J „Sr" Overlay/Agreement -----_— <br /> VALUATION Z s/ 4,3 Nonresidential Use ----"- <br /> Number of Stories a Residential Used <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: I <br /> Basement No_ Yes_X Fi / Unfin Landscape or Planning Inspection <br /> Type of Construction ,,-a needed before final? Yes No <br /> Existing Sprinkler System? Yes No Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: / <br /> Reason Approved b Date: 2 1 ZL / j� <br /> Existing Fire Alarm Yes No Unk Historic Appro ed by: Date: 666 <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: <br /> Deferred Submittal Req'd Yes No Calculated School Impact Fee: <br /> Approved by: ,-- Date:Z/ZZ//'7 School Impact Fee Credit: <br /> Comments: 27/5 `2G 0 /./S6L Total School Impact Fee Owed: <br /> Comments:NCB CoCmw - �9 j 6�\CLl �I�Q <br /> - <br /> Intake OK l <br /> b)Y�1 <br /> Intake OK by: J H <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By:.c�,4 Date: /0 -21-Z / <br /> Plan Check Fee Comments: Consinfr=v'v . ,`rntw .# Mx"./SIB Man, <br /> Building Permit cxnii S. Q Jt,tiviirtit ' /IsSi it -4 u <br /> Surcharge High Hazard Sites(Dental,Medical,Animals, Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee JlEr Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee ❑ PW Permit Not Required <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 />