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1 <br /> FOR OFFICE USE ONLY PERMIT# 0(61l,-I n <br /> 4 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size / 0 & Zoning Classification C•-' i- _ <br /> Garage Size - 1 Overlay/Agreement <br /> VALUATION Nonresidential Use 9e9 'r0u(l.''` <br /> Number of Stories Residential Use <br /> Occupancy Group 13 Proposed No.of Dwelling Units: <br /> Occupant Load 2.5 Total No.of Dwelling Units: <br /> Basement No 7Yes___ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction `/-- 6 needed before final? Yes_ No --i< <br /> Existing Sprinkler System? Yes "✓No Unk Planning Inspector: - <br /> Fire Sprinkler Required Yes t/ No Phone#: <br /> Reason E 4- Approved by: t_.1\441 j Date: NA..-1%./1 (p <br /> Existing Fire Alarm Yes V No Unk Historic Approved by: / Date: <br /> Fire Alarm Required YesV No_ School Mitigation Reqd? Yes No X <br /> Reason V Everett School Dist Mukilteo School Dist. <br /> Enclosure Law A plies Yes / #of Net New Units: <br /> Deferred Submitt I Req'd Yes✓ No Calculated School Impact Fee: <br /> Approved by: 01)-- Date: -el-ito School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> Comments: A JJe,d - fe54.04ro..w'� '.)W— U <br /> bx 445 O�c6.s�_cAPkW— <br /> Intake OK by: 11-41\-- <br /> Intake OK by: S <br /> /UBLIC WORKS <br /> FEES INTAKE: Checked By f� Date: -20/. <br /> Plan Check Fee Comments: SyS" 1 D/ `veieO�t� s1T'1d I '' <br /> Building Permit 'lo bi✓ �� d' te `o Cc�• <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 ISE 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: it _ Date: I of -13-146 <br /> Water Fee 51PW Permit Approved PW . -r,_ ., Tr / n► A <br /> Sewer Fee 17, See SiSDev f-Tra ff rt init. sprudtliev4411 <br /> Systems Dev. Fee 0 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: 74701`9 (Etv <br /> PGI( K 5 g%erre, - -3(cri is s nlrl . <br />