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• FOR OFFICE USE ONLY • PERMIT# L I-Dq 1 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 7 1 0 _ Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group 1 15 1 Proposed No.of Dwelling Units: <br /> Occupant Load Y-/A Total No.of Dwelling Units: <br /> Basement _No t- Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction ! 1 -Aneeded before final? Yes No <br /> Existing Sprinkler System? Yes V ,No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes V 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 K' ri 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: ` i / ` Date:/2-/ - /(,;, School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> Comments: <br /> \MO lOYyw Yet6:A <br /> Intake OK by: <br /> Intake OK by: v l Y l bylct I h'- ) <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: A3 Date: //-23-/,6 <br /> Plan Check Fee Comments: B`C iCc/ ` / <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental,Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check _ — El Public Works/ -I�OT R� <br /> REQUI �D <br /> Plumbing Fee _ 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee 0 PW Permit Approved-PW _ <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 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 />