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FOR OFFICE USE ONLY PERMIT#0-14-11/4-)k(-9k 2 -c03 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn ize •E j 49 Zoning Classification ((- I-- <br /> Garage <br /> Garage Size AJA Overlay/Agreement <br /> VALUATION 1-7/i 23 1 Nonresidential Use <br /> Number of Stories I. Residential Use <br /> Occupancy Group 1,AA Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No_ Yes I gip, Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes No <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approved by: Date: <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 Req'd Yes No Calculated School Impact Fee: <br /> Approved by: Date: 61///e).7 School Impact Fee Credit: <br /> Comments: Z0/45- `€ 0 & C.... Total School Impact Fee Owed: <br /> Comments: <br /> v\6 de'J Ll ie?4:1-ed G1 11-(0,11(G <br /> L. Intake OK by: <br /> Intake OK by: ( 2 9N — <br /> t Co <br /> ?UBLIC WORKS <br /> FEES INTAKE: Checked By: /� Dates _oC R016 <br /> Plan Check Fee Comments: Nt i W (�r1L�/Ltt,d. Q.2 .,MlEitM"t-- <br /> Building Permit 'a'rnto 's ' <br /> Surcharge High Hazard Sites(Dental,Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check El 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 gr en folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer;...p .4- Date: ?— <br /> Water <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet WO <br /> Systems Dev.Fee .n! 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 Servi e Yes_ No 7 Existing Bldg. <br /> Approved by: �� Date: `f-\C---"I 7,..„ <br /> Comments: <br />