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FOR OFFICE USE ONLY PERMIT# C I � �� � �Z� <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification '� <br /> Garage Size /� P�Jp rj-�Z. �j —. Overlay/Agreement <br /> VALUATION �Q Q�Jl� Nonresidential Use <br /> Number of Stories Residential Use `t`�Sb�rj� 5� <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 Pianning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: Date: t 2"�(Z I(Q <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 Calculated School Impact Fee: <br /> Approved by: Date:/2 7 � School Impact Fee Credit: <br /> Comments �p�`��2� Total School Impact Fee Owed: <br /> Comments: <br /> Intake OK by�:`=�-�� ��I �� j� <br /> Intake OK by: <br /> 'PUBLIC WORKS <br /> FEES • INTAKE: Checked By: —� Date: <br /> Plan Check Fee Comments: ��,�y�_��6i1—('�'g <br /> ,�„�.�� <br /> Building Permit Mp �E"f"_'""__ �w �� <br /> Surcharge Ijig 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 ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent Review separate ree folder <br /> Ping Bidg Review Fee PW REVIEW: PW Reviewer: Date: 2. 2 1.P1 <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet�C16lI,.,Qog l��enjH�' <br /> Systems Dev.Fee �PW Permit Not Required 'r�� <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 Bidg._ <br /> Update/New Chemical Yes No Existing Bldg._ <br /> Update/New Fire Service Yes No Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br /> Z <br />