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FOR OFFICE USE ONLY PERMIT# sVI <br /> BUILDING PLANNING . <br /> Bldg/TI/Addn/Rem Size 6/ / Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 10 , CSC Nonresidential Use <br /> Number of Stories 1 Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load 4 a Total No.of Dwelling Units: <br /> Basement Yes_ Fin / Unfin Landscape or Planni Inspection <br /> Type of Construction V jJ' needed before fina . Yes_ No_ <br /> Existing Sprinkler System? Yes No l( Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: \� V b l 1l0 Date: <br /> Existing Fire Alarm Yes No—6 Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No 75 School Mitigation Reqd? Yes No <br /> Reason Everett School Dist Mukilteo Scho. •ist <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submittal Req'd Yes No Calculated School Impact F- <br /> Approved by: -7 L Date: / 1 /J 7 School Impact Fee Cr-bit: <br /> Comments: Total School Impa ee Owed: <br /> Comments: <br /> • Intake OK by:CSC) <br /> Intake OK by: thigi <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: KB Date: I h.3 46 <br /> Plan Check Fee Comments: a _ _ - r <br /> Building Permit 1 <br /> Surcharge High Hazard Sites(mental,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 ® Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: kg Date: <br /> Water Fee _ 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee Jf 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 />