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FOR OFFICE USE ONLY PERMIT# (2 Ck - O( 0 <br /> BUILDING PLANNING <br /> 00 Zoning 1 <br /> Bld /TI/Addn/ em ST ize /gClassification <br /> Garage Size Overlay/Agreement <br /> VALUATION 7,7/6300 Nonresidential Use C <br /> Number of Stories / Residential Use J <br /> Occupancy Group / ----2.) Proposed No.of Dwelling Units: <br /> Occupant Load /4 J6 Total No.of Dwelling Units: ___-- <br /> --- <br /> Basement <br /> Basement No Yes Fin / Unfin Landscape or Planning Ins wn <br /> Type of Construction if—3 needed before final?---'---Yes_ No <br /> Existing Sprinkler System? Yes_ No// Unk_ Planning Ins ctor: <br /> / <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: —.4 Date: \\. 1\---i- 1 Up <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 SchoolJDisl;- <br /> Enclosure Law Applies Yes / #of Net New Units: /-- -- <br /> Deferred Submittal Reqd Yes No Calculated School Imp Fee: <br /> Approved by: 77--/-- ---7:..."- Date: /frCi/ School Impact F Credit: <br /> Comments: Total Scho mpact Fee Owed: <br /> Comm ts: <br /> Ntg) Q-- ODA <br /> Intake OK by: "^OV `.s\ ` " ��� � s'lp <br /> �� '�9t, <br /> le <br /> Intake OK by: (�-��• , <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: XE Date: //-/7-/6 <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 teen folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: KD Date: 11 /7-/to <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev.Fee NPW 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 />