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FOR OFFICE USE ONLY PERMIT# l.J F7 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size l"10,sF rS Zoning Classification <br /> Garage Size N 1A. Overlay/Agreement <br /> Qo <br /> VALUATION (104 Nonresidential Use <br /> Number of Stories 14A Residential Use <br /> Occupancy Group IR-3 Proposed No. of Dwelling Units: <br /> Occupant Load N A Total No.of Dwelling Units: <br /> Basement No Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction vIs needed before final? Yes No <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <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 #of Net New Units: <br /> Deferred Submittal Req'd Yes No ✓ Calculated School Impact Fee: <br /> Approved by: 4/,*7 Date: i2bri School Impact Fee Credit: <br /> Comments: I 1Jt'l�J� Total School Impact Fee Owed:ew.s^CNc�- ►�EcEc�S��cs Comments: <br /> ATtA AiE*D -Tv Ex�sTiNC� Hv rsE <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: 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 /> r� <br />