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A <br /> FOR OFFICE USE ONLY PERMIT# C(?::1 �C-. \ 02_5 <br /> BUILDING PLANNING <br /> y <br /> 0 j'ddn/Rem Size 10 L V 0 Zoning Classificationf.--2 <br /> Garage Size /� Overlay/Agreement <br /> 1 <br /> VALUATION /5‘-0) d Cfd Nonresidential Use ?.p s('d.e k- <br /> Number of Stories / Residential Use .-- <br /> Occupancy <br /> Occupancy Group J Proposed No.of Dwelling Units: — <br /> Occupant Load ' T1 Total No.of Dwelling Units: ,. <br /> Basement NoYes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction v`r needed before final? Yes_ No X <br /> Existing Sprinkler System? Yes_ No/ Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No/ Phone#: <br /> Reason Approved by: V ,'\),t,i s, Date: t- 30- / 1 <br /> Existing Fire Alarm Yes_ No UnkX Historic Approved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes_ No <br /> Reason 4fr1 t tlwt,csS rate, 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: 72.1 Date: 375/t7 School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> Comments: P <br /> 0 <br /> Intake OK by: )2-A <br /> Intake OK by: <br /> e ,j,,;, ,, <br /> PUBLIC WORKS <br /> INTAKE: Checked By:_,1� Date: / I? _'/ <br /> FEES - / <br /> Plan Check Fee Comments: NPO fJ ��--n0 C�'IA4j of f tat . <br /> Building Permit du? <br /> Surcharge High Hazard Sites(Dental,Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 14 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-Concur ent Review(separate reen folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:a26 Date: !9 Zd <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev.Fee ISPW 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 />