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Ziii <br /> FOR OFFICE USE ONLY PERMIT# C.I(OOro- O7 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size !O/(O Sr Zoning Classification R- j <br /> a <br /> Garage Size &/3 .S.. . Overlay/Agreement <br /> VALUATION ?3R 79.3 Nonresidential Use <br /> Number of Stories 3 Residential Use 5.K-- <br /> Occupancy Group AM Proposed No.of Dwelling Units: 1 <br /> Occupant Load Total No.of Dwelling Units: 1 <br /> Basement No iX 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: <br /> Fire Sprinkler Required Yes No Phone#: 425-- 26-7 <br /> Reason Approved by: r-4-1- Date: I 1 - Li- I(p <br /> Existing Fire Alarm Yes_ No_Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes x No_ <br /> Reason Everett School Dist -NA Mukilteo S ool Dist <br /> Enclosure Law Applies Yes_ #of Net New Units: 1 2010 K/�A <br /> (7 <br /> Deferred Submittal Req'd Yes— No_ Calculated School Impact Fee: 10(11.. 3930 <br /> Approved by: Date:/119/6 School Impact Fee Credit: <br /> Comments: zoiZ xG ktJr�G Total School Impact Fee Owed: '"� " 3D <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 e r& /.R- O2• <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 />