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FOR OFFICE USE ONLY PERMIT# <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size S7 Zoning Classification <br /> Garage Size 7�(; Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group u Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No Yes.X Fin (UnfiD Landscape or Plannin spection <br /> Type of Construction needed before f, ? Yes No <br /> Existing Sprinkler System? Yes No Unk Planning I pector: <br /> Fire Sprinkler Required Yes_ No_ Phone : <br /> Reason Approved by. Date: <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 Fe <br /> Approved by:(,_ {, Date: Z 2ZI 1IL School Impact Fee Cr <br /> Comments: 2ol WC � /A��� Total School Imp Fee Owed: <br /> ,v Comments: <br /> own <br /> Intake OK by: <br /> Intake OK by: <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: -- Date: <br /> Plan Check Fee Comments: 140 vx*m'or &Te, no 106v een d <br /> Building Permit <br /> Surcharge �Hig(h Hazard Sites(Dental,Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check I 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-Concur ent Review separate green folder <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: & Date: 12—W7—.9016 <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee 1XPW 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 /> 7/�7i <br />