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• FOR OFFICE USE ONLY • <br /> PERMIT# n,v DOv <br /> BUILDING PLANNING <br /> �I <br /> Bldg I ddn/Rem Size 1170.a> _44- - Zoning Classification 13 -3 <br /> Garage Size � Overlay/Agreement , <br /> VALUATION [111 Nonresidential Use CiInate -1, m 'f" <br /> Number of Stories d- Residential Use \0 k' -)- <br /> Occupancy Group S Proposed No.of Dwelling Units: N 0 NN <br /> Occupant Load �'... /`Jr Total No.of Dwelling Units: <br /> Basement No_ Yes? 0/ Unfin Landscape or Planning Inspection / <br /> Type of Construction 2-e7 needed before final? Yes No V <br /> Existing Sprinkler System? Yes No X Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No x Phone#: <br /> Reason Approved by: \II. @(I Date: Z-9 I7 <br /> Existing Fire Alarm Yes No x Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No N School Mitigation Reqd? Yes No <br /> Reason — Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes N( #of Net New Units: <br /> Deferred Submittal Req'd Yes No N Calculated School Impact Fee: j <br /> Approved by: ;VI Date:Si (?' School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> Comments: <br /> f`. Intake OK by: VQ/hf� <br /> Intake OK by: • • ' •� " <br /> rj �/CP lPUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit 10trf r:A <br /> • <br /> Surcharge High Hazard Sites(Dental; edical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works('Sys Dev raffic Mit./RPBA-NOT REQUIRED <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: k13 Date: //2' 28-16 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee Er 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 />