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FOR OFFICE USE ONLY PERMIT#17 i 1 DI,—0012 <br /> BUILDING PLANNING �J <br /> Bldgadd Rem Siz ?g(4}o Zoning Classification <br /> Garage Size ( '1 y1^r✓ f'qt-CR ) Overlay/Agreement <br /> VALUATION 'Ace} ,`fit W1 Nonresidential Use \ ��C ( `N1A‘4O A QA <br /> Number of Stories ` Residential Use <br /> Occupancy Group S '1 Proposed No.of Dwelling Units: <br /> Occupant Load Z('O Total No.of Dwelling Units: <br /> Basement No Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V6 needed before final? Yes No <br /> Existing Sprinkler System? Yes X No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes )(1 No Phone#: <br /> Reason 1\1 ee "t3 Approved by: CStc----) Date: k ��- <br /> Existing Fire Alarm Yes )4 No_Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes )4 No School Mitigation Reqd? Yes_ No_ <br /> Reason R ZCvp 11 3 Everett School Dist Mukilteo Sc Dist <br /> Enclosure Law Applies Yes_ #of Net New Units: <br /> Deferred Submittal R 'd Yes No Calculated School Impact F : <br /> Approved by: AA ( ate: (o tea (1 School Impact Fee Cre : <br /> Comments: ) Total School Impact Fee Owed: <br /> 'r' Comments: <br /> `� Intake OK by: <br /> 0/Intake OK by: 1(47/1/ <br /> PUBLIC WORKS, <br /> FEES` INTAKE: Checked By: ./-<n Date: 1 -(2)7 <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: Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee [ 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: <br />