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' <br /> 1*ell0 \neAf Of-VAA\C ffit <br /> FOR OFFIC USE ONLY PERMIT#'-.-otot/6--0(:)(0 <br /> ,BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification 13-7D <br /> Garage Size Overlay/Agreement \\- e-D\-06(..-- <br /> VALUATION Nonresidential Use COM fv‘er6 Al I • 'OZ. <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 NA <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: . 3 Date: 10j-1/1 IP <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes No X <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law ppIies Yes #of Net New Units: <br /> Deferred Submi al Reqd Yes No Calculated School Impact Fee: <br /> Approved by: Date:/0 6 School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> Comments: C.,v‘fo cpy„e/ <br /> Intake OK by: <br /> Intake OK by: <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: ihi Date: to Tor+ <br /> Plan Check Fee Intake Comments: <br /> Building Permit go ?ilk) 0,tn0PutA\2 <br /> Surcharge <br /> Additional Plan Check Ot Public Works/Sys Dev/Traffic Mitigation-NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concur ent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date:__ <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 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 />