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)1, Call <br /> FOR OFFICE USE ONLY PERMIT# , ®-- <br /> ?BUILDING PLANNING <br /> Bldg/Tl$ Ftem Size '7D,5 s Zoning Classification R- i <br /> Garage Size Overlay/Agreement ,--- <br /> VALUATION /00 6Z(_ Nonresidential Use .-- • <br /> Number of Stories 2, Residential Use I SR Oe,I-a{jked <br /> Occupancy Group R Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: 1 <br /> Basement Yes_ No 1Fin/Unf Landscape or Planning Inspection <br /> Type of Construction 3 g needed before final? Yes_ No 7. <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: ,l I I 7b a k <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 }C <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submittal Req'd Yes_ No Calculated School Impact Fee: <br /> Approved by: ..1141-- Date:/Z////4j School Impact Fee Credit: <br /> Comments: zo/s- //2G tils-iG Total School Impact Fee Owed: <br /> Comments: <br /> Intake OK by: tA t " <br /> Intake OK by:gni <br /> PUBLIC WORKS ; <br /> FEES '. INTAKE: Checked By: Date: <br /> Plan Check Fee Intake Commentss::� 6 �,,,,, <br /> Building Permit � IO �a k i et �"tron ids,�� <br /> Surcharge Dra tib sekQs� Uotks) nt511 tk : <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mitigation-NOT REQUIRED <br /> Plumbing Fee 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: 6- Date: /O--Z1—20/( <br /> Water Fee 0 PW Permit Approved-PW ` r1 / <br /> Sewer Fee 0 See PW Review Worksheet Nd3 P&4.-ml� r &)/ <br /> Systems Dev. Fee laPW Permit Not Required /Iota, No ail pRmI /Fred <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 />