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FOR OFFICE USE ONLY F PERMIT# l j't <br /> BUILDING. PLANNING cc <br /> Bldg/TI/Addn/Rem Size V5Zoning Classification C'---Z E-j <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use \-ko\-eA <br /> Number of Stories N A Residential Use <br /> Occupancy Group - t Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement, Yes_ No ! t•in/Unf Landscape or.Planning Inspection <br /> Type of Construction ( ''6needed before final? Yes_ No <br /> Existing Sprinkler System? Yes V No_Unf Planning Inspector: <br /> Fire Sprinkler Required Yes I No._ Phone#: <br /> Reason dr Approved by: \,LN 14_,....18 Date: i -ZS- ) G <br /> Existing Fire Alarm Yes t/No_Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes ✓/No_ School Mitigation Reqd? Yes— No <br /> Reason C 4Z' Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes_ #of Net New Units: <br /> V <br /> Deferred Subm• al Req'd Yes No Calculated School Impact Fee: <br /> Approved by: Date:1 .))1 _IL School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> Comments: <br /> 7/zf ,riot t o-N- CAco,m ' Y1,6 PX' �r --os of <br /> PUBLIC.WORKS <br /> F .EES <br /> Intake Checked_ . . . n ake By: -` Date: <br /> Plan Check Fee Intake Comments: NO nu - <br /> Building Permit �p <br /> frs . <br /> Surcharge I� fl �' <br /> Additional Plan Check PW Permit Application Submitted? Yes No__ ___ <br /> Plumbing Fee PW Worksheet Required? Yes No <br /> Mechanical Fee PW REVIEW: PW Reviewer: Y- Date: 3-ZQ'- 1e <br /> Ping Bldg Review Fee NbF SEE PW WORKSHEET-returned to file <br /> Water Fee PW Permit Approved, x 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 /> _._,r-7.---,_ ----) <br /> _ _ <br /> L ) <br />