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FOR OFFICE USE ONLY PERMIT# &aU(( (0 '003 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size l.J Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use \fx E,L000.E 1-1oret_ <br /> Number of Stories Residential Use - <br /> Occupancy Group p f Proposed No.of Dwelling Units: <br /> Occupant Load 8 Total No.of Dwelling Units: <br /> Basement No j/Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V— R/ <br /> needed before final? Yes No <br /> Existing Sprinkler System? Yes_ No_ _ Planning Inspector: <br /> Fire Sprinkler Required Yes No k/ Phone#: <br /> Reason Approved by: \L.,.\k..1 61 Date: 10' i q-1 cp <br /> Existing Fire Alarm Yes No V U k Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes No x <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law App s Yes_ #of Net New Units: <br /> Deferred Submitt eq'd Yes 1,,Ao Calculated School Impact Fee: <br /> Approved by: A Date:f 0...///–/( School Impact Fee Credit: <br /> Comment • / Total School Impact Fee Owed: <br /> Comments: <br /> Intake OK by: <br /> Intake OK by: <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By:, Date: /o^/y 2(Jg <br /> Plan Check Fee Intake Comments: <br /> Building Permit <br /> Surcharge <br /> Additional Plan Check Public Works/Sys Dev/Traffic Mitigation-NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurr nt Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: /0"/y6 <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 />