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FOR OFFICE USE ONLY PERMIT#91 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use r <br /> Number of Stories Residential Use '5w- <br /> Occupancy <br /> 5 - <br /> Occupancy Group Proposed No.of Dwelling Units: —�— <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No YesX Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes No�< <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: 1111 <br /> Reason Approved by: Date: '`— 1`6- 1 <br /> Existing Fire Alarm Yes No Unk Historic Approved 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: <br /> Deferred Submittal Req'd Yes No Calculated School Impact Fee: <br /> Approved by: Date 7/(, School Impact Fee Credit: <br /> Comments: '4 O/S- 1kc Total School Impact Fee Owed: ` <br /> S�K&jf1��f1-4 ( C16QV471JAJ Comments: (.OJp�� ttj� <br /> W'. lo 1(a <br /> �f Intake OK by: Nr <br /> Intake OK by: ✓'/� <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <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 ❑ Public Works Permit-Concurrent Review separate reen folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: �O <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 />