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FOR OFFICE USE ONLY PERMIT# (--b0(0" 3 <br /> BUILDING �[ PLANNING <br /> Bldg/TI/Addn/Rem Size Z_L 3l'S � Zoning Classification �--- <br /> Garage Size '3$5 .c4 <br /> j Overlay/Agreement <br /> VALUATION �7 �b� Nonresidential Use <br /> Number of Stories 3 Residential Use S T �--- <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No_X 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 /> fi'S '"TL S'��r <br /> Fire Sprinkler Required Yes No Phone#: 4ZS- 2-5--7--7- <br /> Reason Approved by: �1-1--- Date: - 1- <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes 'A No <br /> Reason Everett School Dist -\/( Mukilteo School Dist <br /> Enclosure Law Applies Yes #of Net New Units: 1 2,0(4 Zei 7 <br /> Deferred Submittal Req'd Yes No Calculated School Impact Fee: ,a3o <br /> Approved by: Date: ////g'//b School Impact Fee Credit: <br /> Comments: zo/Z //cc Total School Impact Fee Owed: 2 -3p?3 <br /> Comments: <br /> Intake OK by: <br /> Intake OK by: <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: Pk) O D� <br /> Building Permit S,P� I(0(� ' <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 /> �2 <br />