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• ! <br /> FOR OFFICE USE ONLY PERMIT# �l �� O� ��� <br /> BUILDING PLANNING <br /> Bidg/TI/Addn/Rem Size Zoning Classification �— <br /> Garage Size Overlay/Agreement �v Q � � <br /> VALUATION ` `7. � Nonresidential Use �1�-'� <br /> Number of Stories / Residential Use 2 ���L�� �F�`S <br /> Occupancy Group Proposed No. of Dwelling Units: ���E <br /> Occupant Load Total No. of Dwelling Units: Z 7/G�U'�'-�% ���2,5 <br /> Ba�ement 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 /> Reason Approved b,� '�IIV� 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 Calculated School Impact Fee: <br /> Approved by: Date:/ 2,3 /(,� School Impact Fee Credit: <br /> Comments: �J/� /�L Total School Impact Fee Owed: <br /> Comments: \ /�11 „ O�? ' �CU' 45 '-��� <br /> V b�J J <br /> Intake OK by: <br /> Intake OK by: <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: //� —,�� — Z 0!-E <br /> Plan Check Fee Comments: �/S '�G S�O��,'�1 �'�C� �' �'i'-�9�n �t�r� <br /> Building Permit /V�1�SF��'6Q� ��£��' <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-Concur ent Review separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: (I—�— <br /> Water Fee �t PW Permit Approved-PW(6��—��oZ <br /> Sewer Fee ❑ See PW Review Worksheet�J J/� <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 /> Z��%) <br />