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FOR OFFICE USE ONLY PERMIT#C\L \ -OCAS <br /> BUILDING , PLANNING <br /> Bldg/TI/Addn em ize eix/S7/46 Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION gO 9 cD Nonresidential Use <br /> Number of Stories Residential Use SFC( <br /> Occupancy Group � u Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No_ Yes_ Fin / 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: i\. ` 10 I II lO <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 Re 'd Yes_ No_ Calculated School Impact Fee: <br /> Approved by: Date:/2,/// School Impact Fee Credit: <br /> Comments: Z.015 `ec Total School Impact Fee Owed: <br /> Comments: <br /> fve ti <br /> Intake OK by: <br /> Intake OK byk_IIL U - 1p^t(,p <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: ice 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: I,B Date: 11-10 ^J <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev.Fee igf 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 YesNo_ Existing Bldg. <br /> Update/New Fire Service Yes_ No_ Existing Bldg. <br /> Approved by: Date: <br /> Comments: <br />