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FOR OFFICE USE ONLY PERMIT# C.,I((Qo—0(0S— <br /> BUILDING <br /> 0(0SBUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size /g/& Zoning Classification R- 7.— <br /> Garage Size ‘e_/3 T/ Overlay/Agreement <br /> VALUATION W as f 111_ Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group ela Proposed No.of Dwelling Units: 1 <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 X No <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: livetSci..0(. ...3— <br /> Fire Sprinkler Required Yes— No_ Phone#: 42,5- 2_c7„- <br /> Reason Approved by: Date: 1 r - Ilp <br /> Existing Fire Alarm Yes No_Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes ‘C No <br /> Reason Everett School Dist 'i Mukilteo S?h nl Dist (TA <br /> Enclosure Law Applies Yes #of Net New Units: 1 &) (1) <br /> Deferred Submittal Req'd Yes_ No Calculated School Impact Fee: „.11,6lerr. a' <br /> Approved by: Date:////13A& School Impact Fee Credit: <br /> Comments: Zo/Z Total School Impact Fee Owed: .t~ v <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 <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 ❑ 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 />