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FOR OFFICE USE ONLY PERMIT# Y)U,t 2- -010 <br /> BUILDING I PLANNING J <br /> Bldg/TI/Addn/Rem Size k Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION q-,C:1'' Nonresidential Use <br /> Number of Stories � Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load l Total No.of Dwelling Units: <br /> Basement No X Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction \if3 needed before final? Yes— No <br /> Existing Sprinkler System? Yes_ 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 >t Calculated School Impact Fee: <br /> Approved by: Date: g(9.31I - School Impact Fee Credit: <br /> Comments: (tt Total School Impact Fee Owed: <br /> Comments: <br /> rc-412ri,hi gpppovat fiat' <br /> ret ired / i-!h( gam <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: K13 Date: 7-14--I 7 <br /> Water Fee PW Permit Approved-PW /(/Z—0/C <br /> Sewer Fee 0 See PW Review Worksheet 4` ISS GLe'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 />