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FOR OFFICE USE ONLY PERMIT# bik) I(00 1-'61:* <br /> BUILDING PLANNING <br /> Bldg/TI/Addn( s Size /' S Zoning Classification <br /> GOPMEISte g-41,570,14) Overlay/Agreement <br /> VALUATION S-0 4.9 Nonresidential Use <br /> Number of Stories / Residential Use 6-P> _ - VGTz th\Q 2, <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement (C/t/ic• ) No_ Yes K Fin / nfi Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes No X" <br /> Existing Sprinkler System? Yes_ No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason Approved by: u.. (....- d Date: 10—?Jo--)c <br /> Existing Fire Alarm Yes No_Unk Historic Approved by: Date: <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 Reqd Yes_ No_ Calculated School Impact Fee: <br /> Approved by: Date:`U/ZtAl School Impact Fee Credit: <br /> Comments: 9/ f /ty..(tC, Total School Impact Fee Owed: <br /> Comments: OCR.) lc)._ /\ 3--7 <br /> Intake OK by: 4-1+ <br /> Intake OK by: <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <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-Concur t Review(separate reen folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:4 Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 121 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 /> / <br /> CvV <br />