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FOR OFFICE USE ONLY PERMIT# l o l-o2- <br /> BUILDING PLANNING <br /> Bldg I/ ddn/Rem Size 3 dt. Zoning Classification "/ ES <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use Lse6' <br /> Number of Stories Residential Use <br /> Occupancy Group �j/111 <br /> /V 1 Proposed No.of Dwelling Units: <br /> Occupant Load I(7 Total No.of Dwelling Units: <br /> Basement Norrd�_ Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction .FI- " A needed before final? Yes_ No X <br /> Existing Sprinkler System? Yes ' No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason ?JEW vkU_3 Approved by: rAt' )8 Date: -I-1 <br /> Existing Fire Alarm Yes )4I, No Unk Historic Approved by: Date: — <br /> Fire Alarm Required Yes )0 No_ School Mitigation Reqd? Yes_ No X <br /> Reason Ole (-t a— 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: (AI 1 oriel Date: l• It•17 School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> fAPc'i WgIP,t+1 • 1P/ Comments: Inr1e,.„).ar - <br /> pc-GCe S)04Al C E Ge <br /> df u se. Intake OK by: <br /> Intake OK by: <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: !C.8 Date: / /8'I7 <br /> Plan Check Fee Comments: <br /> Building Permit <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 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 /> _vX0 <br />