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FOR OFFICE USE ONLY PERMIT# <br /> BUILDING / PLANNING <br /> BI /TI/ d /Rem Size 7� 7 0 ';f- <br /> Zoning Classification <br /> Garage Size .� Overlay/Agreement <br /> VALUATION see F0_wT Nonresidential Use !�b Nle <br /> Number of Stories Residential Use I DU <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> OccupantLoad Total No. of Dwelling Units: <br /> Basement No Yes_ Fin / Unfin Landscape or Planning Inspection / <br /> Type of Construction V 5 needed before final? Yes No v <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: �- <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason bM57f% IJDO-(Op�F-N\ Q�- Approve y: 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 X Calculated School Impact Fee: <br /> Approved by:- 4 ,4LCy Date: t I7 School Impact Fee Credit: <br /> Comments: LLELgktL Total School Impact Fee Owed: <br /> /00 Comments: <br /> �c.za«-tP�E7y �r IdJl�ol (J. <br /> _ Intake OK by: , <br /> .1 take OK by: t <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-Conc ent Review separate green folder <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer Date: Z 1 <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 />