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FOR OFFICE USE ONLY PERMIT# <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size /DOS? Sf Zoning Classification g <br /> Garage Size 3-Z45 Overlay/Agreement <br /> VALUATION ?BO Nonresidential Use <br /> Number of Stories / Residential Use N.0\1- 411Ie_ <br /> Occupancy Group e/(./ 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 No Phone#: <br /> Reason Approved by: Y_(1.1.<./c1Date: 2JExisting Fire Alarm Yes No UnkHistoric Approved by: <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 Req'd Yes No_ Calculated School Impact Fee: <br /> Approved by: 11 Date:,?/2V/7 School Impact Fee Credit: <br /> Comments: z0,5_ j2G Total School Impact Fee Owed: <br /> Comments: <br /> 6US7/ 40/ ti <br /> Intake OK by: r, <br /> Intake OK by:_ <br /> dt-- <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By:)e.-74-- Date:-7---2 l <br /> Plan Check Fee Comments: NQ e r bri' wok` p(/v�'7- , vt ' <br /> Building Permit r cue)// /bid ot/v- 171, }",--` <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 =' Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurent Review(separ.te gr-en folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee 0 PW Permit Approved-PW ,, �,Q <br /> Sewer Fee 0 See PW Review Worksheet--140rA,""`'fir <br /> Systems Dev.Fee aPW 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 />