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eL-'067 <br /> FOR OFFICE USE ONLY PERMIT# C/(YO!o `- R1 <br /> ...- <br /> Bldg/TI/Addn/Rem Size I'314 Zoning Classification <br /> Garage Size 22— 5¢- Overlay/Agreement <br /> VALUATION !& 2 I �• Nonresidential Use <br /> Number of Stories 3 Residential Use <br /> Occupancy Group � 1� Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes— No Fin/Unf Landscape or Planning Inspection <br /> Type of Construction E needed before final? Yes No <br /> Existing Sprinkler System? Yes— No Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No— Phone#: <br /> Reason Approved ate: 3/T5 /1 <br /> Existing Fire Alarm Yes No Unk Historic Appr ved by Date: f <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 R,Tyi Yes— No Calculated School Impact Fee: <br /> Approved by: Sit Date:"Z1&- - School Impact Fee Credit: <br /> Comments: Loa_ #4c, # s'y:S L Total School Impact Fee Owed: <br /> Comments: <br /> I BL Cl CRK5 <br /> ;- ,t Intake Checked By: Date: <br /> Plan Check Fee - Intake Comments: <br /> Building Permit <br /> Surcharge <br /> Additional Plan Check PW PerfilitAppflcafiori Submitted? Yes No- <br /> Plumbing <br /> __.__..— oPlumbing Fee PW Worksheet Required? Yes No <br /> Mechanical Fee PW REVIEW: PW Reviewer: fre Date: 9-22-17 <br /> Ping Bldg Review Fee SEE PW WORKSHEET-returned to file <br /> Water Fee x PW Permit Approved, PW Permit Not Required <br /> Sewer Fee _ <br /> Systems Dev. Fee FIRE DEPARTMENT <br /> Traffic Mitigation Fee Update/New Sprinklers Yes_ No_ Existing Bldg._ <br /> Public Works Fee Update/New Detection Yes_ No— Existing Bldg. <br /> School Mitigation Fee Update/New Chemical Yes_ No_ Existing Bldg. <br /> IUpdate/New Fire Service Yes No_ Existing Bldg. <br /> [ Approved by: Date: <br /> Comments: <br /> � 7i� <br />