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• i <br /> FOR OFFICE USE ONLY PERMIT# <br /> BUILDING PLANNING <br /> BI /TI/ ddrf/Rem Siz '3 U la�� S F Zoning Classification <br /> Garage Size n Overlay/Agreement — <br /> VALUATION �-OLS� P. Nonresidential Use �. <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load < (-:) 5 S Total No.of Dwelling Units: <br /> Basement <br /> No)4 Yes Fin / Unfin Landscape or Planning Inspection <br /> needed before final? Yes_ No le--- <br /> Type of Construction <br /> Existing Sprinkler System? Yes NoAk <br /> Planning Inspector: --""— <br /> Phone#: - <br /> Fire Sprinkler Required Yes No��OApproved b . <br /> Date: <br /> Reason 1� <br /> Historic Approved by: Date: <br /> Existing Fire Alarm Yes No_Unk_ <br /> School Mitigation Reqd? Yes_ No <br /> Fire Alarm Required Yes )4 No <br /> Reason MOD�L FL Everett School Dist Mukilteo School <br /> Dislr— <br /> ,(1 <br /> #of Net New Units: <br /> Does this include Multifamily Building Enclosure? Yes_ Calculated Schoolact Fee: <br /> Is a deferred Inspection Letter Req'd? Yes_ No— School I ct Fee Credit: <br /> Architectural Approved by: CG l� f at ���'I�I T a School Impact Fee Owed: <br /> Structural Approved by: ate. 2 1'-k Comments: c <br /> Comments: S1 L Yom) Wc)(ZlL T0 <br /> Intake OK by: <br /> Intake OK by: Date: PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: seol�s On 40 seo►'�M�15 <br /> Building CQi G(10�'� IS S�Li <br /> 9 Permit f AI Gl ri q� yt-1, <br /> no Pw SC6�Surcharge High Hazard Siteg(DeMedical,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: y <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee c❑ See PW Review Worksheet <br /> lai <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 k No Existing Bldg. <br /> Update/New Chemical Yes_ No Existing Bldg. <br /> Update/New Firs Service Yes_ NoX Existing Bldg. <br /> Approved by: Date: Z— t _ 1-7 <br /> Comments: <br />