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0 <br /> FOR OFFICE USE ONLY PERMIT# r 029 <br /> BUILDING PLANNING <br /> 7 <br /> Bldg/TI/Addn/Rem Size `0 ,0 Zoning Classification <br /> Garage Size L Overlay/Agreement <br /> VALUATION ` Nonresidential Use �( <br /> Number of Stories Residential Use �F'� W � )\) <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Ad ,l� Total No.of Dwelling Units: <br /> Basement No Yes? i / Unfin Landscape or Planning Inspection <br /> Type of Construction � / needed before final? Yes_ No— <br /> Existing <br /> o_Existing Sprinkler System? Yes NoUnk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No-/— Phone#: <br /> O� c <br /> Reason Approved by. zDate: �E <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: L Date: )�/ School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> 3 jiv/�; <br /> ✓��,[/�TIGr-► 7�� Comments: � �E�T\� �3\ <br /> Intake OK by: <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 green folder <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: 70 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 /> Q �CJ t�XsC" A1,3 ( fit-_ lam-4-�--� LL-lS 46 C°� <br />