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FOR OFFICE USE ONLY PERMIT# O I li 2-OO U <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Orj nowie...amgk, Zoning Classification g S <br /> Garage Size /{ Overlay/Agreement <br /> w <br /> VALUATION / 76 Nonresidential Use <br /> Number of Stories i Residential Use <br /> Occupancy Group TZ — 3 Proposed No.of Dwelling Units: <br /> Occupant Load 14/A Total No.of Dwelling Units: ' <br /> Basement No_ Yes )? / Unfin Landscape or Planning Inspection <br /> Type of Construction V " a needed before final? . Yes_ No�-- <br /> Existing Sprinkler System? Yes_ No s.421 Unk_ Planning Inspector: — <br /> Fire Sprinkler Required Yes No Phone#: ) <br /> Reason Approved sr f Date: �t Lq/J -3-- <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 Sc •: list <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submittal Req'd Yes Nom Calculated Schoo - •act Fee: <br /> Approved by: 7� Date: i/i7 School Im•: Fee Credit: <br /> Comments: A - chool Impact Fee Owed: ���{ <br /> Comments: N lib 6 Xo 21�` A�f�n^+i itstr�',�(a t <br /> �0i i?.QM'(A1D4 oG1Juo 1 <br /> I ake OK •'!`(LII& f c w kt <br /> Intake OK by: Qq/` - riA4 <br /> ._ <br /> PUBLIC WORKS <br /> FEES " INTAKE: Checked By: Date: (Z/ 1 <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 V] 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 I10 I- 6)-0 <br /> Sewer Fee 0 See PW Review Worksheet YI0+ rt1 &at <br /> Systems Dev.Fee 0 PW Permit Not Required VI't("aE'o 0' I e Com' <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 />