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FOR OFFICE USE ONLY PERMIT# &W ae((- 00.5 <br /> BUILDING PLANNING <br /> Bldg/Tl/Addy ,ize 09 5/ Zoning Classification R"2. <br /> Garage Size Overlay/Agreement <br /> VALUATION 44i 077- Nonresidential Use <br /> Number of Stories 2- Residential Use 2 t'c ithheck G S <br /> Occupancy Group I e/l.t Proposed No.of Dwelling Units: N`o1v,,Ei <br /> Occupant Load Total No.of Dwelling Units: Z i)c z-�- ( �5 <br /> Basement No_ Yes a(Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction 4(j needed before final? Yes No V <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: ""^---- <br /> Fire Sprinkler Required Yes No Phone#: ------- �. / / <br /> Reason Approve 'ryV Date: 12_/g �( <br /> Existing Fire Alarm Yes_ No Unk Historic Approved by: Date: �— <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No ti� <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 /> Approved by: Date: (-2./53//6 School Impact Fee Credit: <br /> Comments: z7/s- , . tijSlecr Total School Impact Fee Owed: <br /> Comments: <br /> COAlli&/L7 i{ .!S7/tR 2/fc7c2 <br /> Of $44.4G6 /Pro C-iV/ r4P4c.,5 <br /> Intake OK by: <br /> Intake OK by: It- <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: .KR Date: I/-23`/� <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev.Fee aPW 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 /> r <br />