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FOR OFFICE USE ONLY PERMIT# <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 3(7 U Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load o Total No. of Dwelling Units: <br /> Basement No LV Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V- <br /> J> needed before final? Yes No <br /> Existing Sprinkler System? Yes No „(13- <br /> Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Yes No Unk V Historic Approved by: Date: <br /> Fire Alarm Required Yes No -7 School Mitigation Reqd? Yes No <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law A plies Yes #of Net New Units: <br /> Deferred Submitf I q'd Yes No Calculated School Impact Fee: <br /> Approved by/ //�� Date:// C School Impact Fee Credit: <br /> Comment . Total School Impact Fee Owed: <br /> Comments: <br /> its (0) <br /> Intake OK by: <br /> Intake OK by: <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: ,d E. Date: 11—y—Z0/6 <br /> Plan Check Fee Comments: tioL t_"_ RO iLlf <br /> • <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental, Medical,Animals, Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ErPublic 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(separatereen folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: 416.1' Date: !I" Zeit <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee NE-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 />