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FOR OFFICE USE ONLY PERMIT# C` . v 1 032 <br /> BUILDING PLANNING,. <br /> BldO//T ddn/Rem Size (7 Zoning Classification 2j <br /> Garage Size Overlay/Agreement <br /> VALUATION SCe Nonresidential Use Qp4i4p.nc,` Sef\Ji <br /> Number of Stories Residential Use <br /> Occupancy Group Q Proposed No.of Dwelling Units: <br /> Occupant Load S Total No.of Dwelling Units: �J <br /> Basement No XC :Yes_ Fin / Unfin Landscape or Planning Inspection .- <br /> Type of Construction 1) needed before final? Yes_ No X <br /> Existing Sprinkler System? Yes_ No)C) Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No)0 Phone#: • <br /> Reason lS'(tntV USf Approved by: \j. O, Date: 1.-ZS-- <br /> Existing <br /> .-ZS—Existing Fire Alarm Yes_ Not Unk Historic Approved by: III Date: <br /> Fire Alarm Required Yes No ck School Mitigation Reqd? Yes No <br /> Reason t✓\i(I SIt k-> use Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes_ � X #of Net New Units: <br /> Deferred Submittal Req'd Yes No Calculated School Impact Fee: <br /> Approved by: irNe( (:SNA-CI Date: 3)3o (1 School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> Comments: <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 <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: ,d Date: / 25`/7 <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 />