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FOR OFFICE USE ONLY PERMIT# b1 1e 12-'605 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 'etv` r`�O Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories r7 Residential Use <br /> Occupancy Group , Proposed No.of Dwelling Units: <br /> Occupant Load 1J A 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 1,/ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes ✓ No_ Phone#: <br /> Reason (r.is. Approved by: Date: <br /> Existing Fire Alarm Yes No Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes t7 No_ School Mitigation Reqd? Yes No_ <br /> Reason (.' Everett School Dist Mukilteo School Dist <br /> Enclosure LawIpplies Yes_/ #of Net New Units: <br /> Deferred Submi al Req'd Yes a/ No_ Calculated School Impact Fee: <br /> Approved by: //.\-/� Dater 1 14$ School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> Comments: 99 <br /> t\Q lA\J&ok C` `Z/PZ <br /> b : viAeriGC �0)Z\C OvLW <br /> Intake OK Y <br /> �^ <br /> Intake OK by: 17 _2_U, <br /> PUBLIC WORKS, <br /> FEES INTAKE: Checked By: KR Date: /L-s-lb <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 IR 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 />