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`� FOR OFFICE USE ONLY PERMIT# (C-1 0-4( - <br /> ' •' BUILDING LANNING `w ' <br /> • lfAddn/Rem Size /47.6,0 ,-5' Zoning Classification <br /> Garage Size 45/ ..4.-,-/ Overlay/Agreement <br /> VALUATION 217 .9.70 Nonresidential Use <br /> Number of Stories 3 Residential Use <br /> Occupancy Group 4/U Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units:I <br /> Basement Yes— No Fin/Unf 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 <br /> Phone#: <br /> Reason <br /> Approved b . Date: LIT <br /> Existing Fire Alarm Yes No Unk Historic Appro -d 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 Yes_ No_ <br /> Approved by: Date:/tilt 0 Calculated School Impact Fee: <br /> Comments: 20/2 12G r 49SWe School Impact Fee Credit: <br /> Total School impact Fee Owed: <br /> Comments: <br /> - FEES PUBLIC WoRKs • <br /> Plan Check Fee • intake Checked By: Date: <br /> Building Permit Intake Comments: <br /> Surcharge • <br /> Additional Plan Check • PW Permit Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet Required? Yes N <br /> Mechanical Fee PW REVIEW: PW Reviewer:' Date: <br /> Ping Bldg Review Fee 2' SEE PW WORKSHEET-returned to file <br /> Water Fee ?' 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 /> Update/New Fire Service Yes No Existing Bldg. <br /> Approved by: Date: <br /> Comments: <br />