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FOR OFFICE USE ONLY PERMIT# l�' ��°���,�3 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification R.� <br /> e Size ;S ' ✓/Z�J�2 2v� S • Overlay/Agreement <br /> VALUATION ��� Nonresidential Use "'�- <br /> Number of Stories Residential Use �` .�Z- <br /> Occupancy Group Proposed No. of Dwelling Units: ---'"-- <br /> Occupant Load Total No. of Dwelling Units: i <br /> Basement No Yes 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#: ^``� <br /> — — / �/ / � <br /> Reason Approve y: �✓ Date: I L /�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:/ �;� / School Impact Fee Credit: <br /> Comments: Z��S ��L Total School Impact Fee Owed: <br /> Comments: <br /> Intake OK by: <br /> Intake OK by: <br /> PUBLIC WORKS <br /> FEES INTAKE: ChecIked By: Date: /�--�$-�0/� <br /> Plan Check Fee Comments: �,/lE.t`� Orl ��6'u.'f't5�tvu-fS��m��2yJi)u��1,rE'q <br /> -far ec deck (ZdOs�) u/JC�crz�M�c� s�Et,✓�r ��-,i1��,�'� <br /> Building Permit Np�-`���� $p�,/� Q/���NOf p¢�F!�%���" ' , <br /> ��, <br /> Surcharge High Hazard Sites(Dental, Medicaf,Animals, Mortuary,etc-Revie 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-Concur ent 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�/�/Q' <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 xisting Bldg._ <br /> Update/New Fire Se ic . Yes No Existing Bldg._ <br /> Approved by: Date: �� 2� "t� <br /> Comments: <br /> ��� <br /> � , <br />