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FOR OFFICE USE ONLY PERMIT# ' C120q'°O <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 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 Total No.of Dwelling Units: <br /> Basement 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 1C No Phone#: <br /> Reason 1`.41)?, t; (I.., 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 Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes_ #of Net New Units: <br /> Deferred Submittal Reqd Yes_ No Calculated School Impact Fee: <br /> Approved by: As-6 14,ps112t\ Date:1/ ��f 7 School Impact Fee Credit: <br /> Comments: !! Total School Impact Fee Owed: <br /> Comments: <br /> hc4 <br /> Intake OK by: <br /> Intake OK by: <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <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 0 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: 455 Date:. -Z—/7 <br /> Water Fee OPW Permit Approved--PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev.Fee 154 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.X. <br /> Update/New Chemical Yes No )(Existing Bldg. A. <br /> Update/New Fire Service Yes No Existing Bldg. X. <br /> Approved by:6, .7 L,. .4 7 Date: 11//f t <br /> Comments: <br /> 3—L.—i7 <br />