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FOR OFFICE USE ONLY PERMIT# -3[6„(a -or(o <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification )-- 2-- <br /> Garage <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use 1.&L1jMMr. <br /> Number of Stories Residential Use --- <br /> Occupancy Group U Proposed No.of Dwelling Units: ------- <br /> Occupant <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_ No1/''- <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: "—'—' 1 <br /> Reason Approved IS4' Date: 1 3b /Ji <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 '' <br /> Enclosure Law Applies Yes_ #of Net New Units: <br /> Deferred Submi .I Req'd Yes No Calculated Schoo •act Fee: <br /> Approved by: E Date: 1 4 Ile School .act Fee Credit: <br /> Comments: 4 • al School Impact Fee Owed: <br /> Comments:#pi p(U t;e p&. & <br /> 3E-P4(0– -)-S► ISb62- 950.6 <br /> Intake OK by: 1< L.- <br /> Intake OK by: <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: la Date: 12. 8—/h' <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: 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 />