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FOR OFFICE USE ONLY PERMIT# /0/A-D 302. <br /> BUILDING PLANNING <br /> Bid. tor 'em Size 4'5OO 5 Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Ste rc{'or 4. Nonresidential Use <br /> Number of Stories I Residential Use <br /> Occupancy Group $ Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No At Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No_ <br /> Existing Sprinkler System? Yes)4 No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes'O No Phone#: <br /> Reason t:trNot4 Approved by: Date: <br /> Existing Fire Alarm Yes iC No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes x No_ School Mitigation Reqd? Yes No_ <br /> Reason �li:ta.k'4"f 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: rn%ttl+„ L\ Date:(i}py*11#f School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> CommentsCj/' <br /> Intake OK by: <br /> Intake OK by: <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By:4z4�'1-' Date: I a- 1°1-2,016 <br /> Plan Check Fee Comments: ` , .. LA <br /> U <br /> Building Permit 14 0 QA7Av v►b- , V <br /> Surcharge High Hazard Sites(Dental,Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check Fa 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 fici_4' Date: J aZ—I"I'201 6 <br /> Water Fee ❑ 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 />