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q_v,4 (is ) <br /> FOR OFFICE USE ONLY PERMIT# 1✓ if �] I " 0 33 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size I 2- Zoning Classification <br /> Garage Size it/A Overlay/Agreement C 1oimte-6,k i '�A, <br /> VALUATION (4 ,aro Nonresidential Use C,\\130\, <br /> -� �Y\w*,f <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/ / Unfin Landscape or Planning Inspection <br /> Type of Construction \,/- 'S needed before final? Yes_ No_ <br /> Existing Sprinkler System? Yes_ No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No_ kik* Phone#: <br /> Reason Approved by: ( Date: ©\' <br /> Existing Fire Alarm Yes_ No ' Unk Historic Approved by: ^ Date: <br /> Fire Alarm Required Yes No_ 1\1716.6 School Mitigation Reqd? Yes_ No X <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 /> -- <br /> Approved by: v d Date: �Q�� School Impact Fee Credit: <br /> Comments: $ Total School Impact Fee Owed: ` <br /> rekAr)+ r%6)4 Oi.i' Arra tD Comments: A\kc\ CcSwW v�\\( 1 Q\4 (�i av1 <br /> Es'c) \d-��l© tt <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 tei /uJiw2-0114 <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 v <br /> School Mitigation Fee Update/New Sprinklers Yes �� No_ Existing Bldg. <br /> Update/New Detection YesNo_ Existing Bldg. <br /> Update/New Chemical Yes_ No )( Existing Bldg._ <br /> Update/New Fire e ice Yes J< No_ Existing Bldg._ <br /> Approved by: / Date: `71-I I -(1 <br /> Comments: <br />