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FOR OFFICE USE ONLY PERMIT# V \ lo I\- 00\ <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load 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 No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: e Date: Ot/0',/11— <br /> Existing Fire Alarm Yes_ No UnkHistoric Approved by: Date: 17.--/t S1 ce <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 Re.'d Yes _ No Calculated School Impact Fee: <br /> Approved by: 'i Date: ( ZO��I. School Impact Fee Credit: <br /> Comments: ` Total School Impact Fee Owed: <br /> Comments: ,'ZEA)ST. \(9 - C4iZ- <br /> ''11� Intake OK by: <br /> Intake OK by:j1A 14 <br /> PUBLIC WORKS / <br /> FEES - INTAKE: Checked By:,. Date: 'I-�' -7O/ <br /> Plan Check Fee Comments: wo fa) <br /> Building Permit tO41/wfS *1h,ko weal s'/ —44p62m,Seer'e • <br /> Surcharge High Hazard Sites(Dental,Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 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 4" Date: /fr g--70/ <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review WorksheetN/ft <br /> Systems Dev. Fee XPW 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 /> p..bU1 -c �atf-RC,' I <br />