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FOR OFFICE USE ONLY PERMIT# C'l(POO-0(0(a <br /> BUILDINGPLANNING <br /> Bldg/TI/Addn/Rem Size /e/CD' �,CC Zoning Classification R- l__ <br /> CC <br /> Garage Size 443 .3`: Overlay/Agreement <br /> VALUATION ,YJ 791,E _ Nonresidential Use �i <br /> Number of Stories 3 Residential Use (j T 2-- <br /> Occupancy Group g/tj Proposed No.of Dwelling Units: 1 . <br /> Occupant Load Total No.of Dwelling Units: 1 <br /> Basement No X Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction 213 needed before final? Yes X No <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: I.Q,l a <br /> Fire Sprinkler Required Yes No_ Phone#: 425-- 267 <br /> Reason Approved by: Of- Date: 1 1 - II- 1 l <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 >4 Mukilteo School Dist <br /> Enclosure Law Applies Yes #of Net New Units: \ Cztg ('(7) <br /> Deferred Submittal Req'd Yes No_ Calculated School Impact Fee: 1 V.V.') <br /> Approved by: Date:/ 34, School Impact Fee Credit: " <br /> Z <br /> Comments: 0/ /2 G ck�(�t fj-6c Total School Impact Fee Owed: t 2 Ajit? <br /> " Comments: <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 ei/ Pk)!fir a '1 <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: 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 />