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FOROFFICEUSEONLY PERMIT#Q�W�b��" 013 <br /> BUILDING PLANNING <br /> _.. <br /> Bldg/TI/Addn Rem Size �7 �$ SC' Zoning Classification �' ' <br /> Garage Size ` Overlay/Agreement '" <br /> VALUATION S� !� QR V� Nonresidential Use <br /> Number of Stories � Residential Use --- <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No� Yes Fin / Unfin Landscape or Planning Insnection <br /> Type of Construction V needed before final? Yes No�'� <br /> Existing Sprinkler System? Yes No � Unk Planning InspeCtor: "'-- <br /> Fire Sprinkler Required Yes No Phone#: �—�' <br /> Reason �X lSt t1� G aN��ONf ���' Approved b Date: <br /> Existing Fire Alarm Yes No� Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No� Schooi Mitigation Reqd? Yes No <br /> Reason ( Z� (OJ�� N� 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: M�L (�Q�1.� Date: �1•Z$•Ib School Impact Fee Credit: . <br /> Comments{��X��uM Total School Impact Fee Owed: <br /> j�o 5 t�o" o��v P�� l.V P�Q ��' �{ Comments: <br /> - �ur- CN���►k u 1� p�'a- <br /> ��t('�,N� d�,L�L r Intake OK by: <br /> Intake OK by:� <br /> PUBLIC WORKS, <br /> FEES INTAKE: Checked By: Date: <br /> _ . _ <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental,Medical,Animals,Mortuary,etc-Reviewfor RPBA) <br /> Addifional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑Pablic Works Permit-Concurrent Review separate reen folder <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: IV Date: t <br /> Water Fee ❑ PW Permit Approved-PW � <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee � � � FIRE bEP�4RTMENT��'� � <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 /> ..--��� <br /> ��,��-� <br />