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FOR OFFICE USE ONLY PERMIT# ti 4 ra-o t <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 17 1 L 5 Zoning Classification ( AJ 2— <br /> Garage <br /> Garage Size Overlay/Agreement <br /> VALUATION •210(')--"/ (p 0 Nonresidential Use vt uC,4c�,2(•JC}-- <br /> Number of Stories Residential Use <br /> Occupancy Group Li Proposed No. of Dwelling Units: <br /> Occupant Load ,N/) Total No.of Dwelling Units: _ <br /> Basement No Yes Fin / Unfin Landscape cr Planning Inspection <br /> Type of Construction 6,24 r azFf .7J needed before final? Yes X No <br /> Existing Sprinkler System? Yes No Unk Planning Inspector:cZ ��f <br /> Fire Sprinkler Required Yes No V Phone#: 41...‘-- Z -7° 3 S <br /> Reason Approved by Date: L Z- —La . Zss,LC, <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes No X <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law plies Yes #of Net New Units: <br /> Deferred Subm'I I Req'd Yes No I-7 Calculated School Impact Fee:`' <br /> Approved by. Date:0- J 6.- 1(v School Impact Fee Credit: <br /> Comments' ' Total School Impact Fee Owed: <br /> Comments: 0_©/nPL f W :'i'-1 6 ivtA, iY"Qo ._ Ag..T. <br /> Atm- ,TA;t�i4cQc ZLAt_ I Qc1/4-t((e= <br /> //^^ Intake OK by: <br /> Intake OK by: ':]. Nt- <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: X8 Date: /2- 7-16 <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 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 ❑ PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee JEI 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 /> D/ d'\ <br />