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FOR OFFICE USE ONLY PERMIT# �'�� <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size k Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION O /'49, Nonresidential Use <br /> Number of Stories `j Residential Use <br /> Occupancy Group (. Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No K' Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction \'e) needed before final? Yes_ No <br /> Existing Sprinkler System? Yes X No X Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No X Phone#: <br /> Reason Approved by: Date: <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 School Dist <br /> Enclosure Law Applies Yes_ #of Net New Units: <br /> Deferred Submittal Req'd Yes_ No X Calculated School Impact Fee: <br /> Approved by: 1. Date: g(2316:- School Impact Fee Credit: <br /> Comments: I. Total School Impact Fee Owed: <br /> Comments: <br /> L <br /> P4 nnIb jC qfff-Oval hof <br /> re calrecd �LuiOhl , ga <br /> Intake OK by: <br /> Intake OK by: - <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <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: 1(13 Date: 7-14--i 7 <br /> Water Fee PW Permit Approved-PW /('/2.0/c <br /> Sewer Fee 0 See PW Review Worksheet &`.. .tSS c e d <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: <br />