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PEF= # C((00 _0a <br />FOR OFFICE USE ONLY <br />13UIL,DING <br />Bldg/TI/Addn/Rem Size <br />4 2 j G <br />Garage Size <br />-7 d 6 A <br />VALUATION <br />42 <br />Number of Stories <br />Occupancy Group <br />P u <br />Occupant Load <br />Basement <br />Yes _ No K Fin/Unf_ <br />Type of Construction <br />Existing Sprinkler System? <br />Yes No Unk <br />Fire Sprinkler Required <br />Yes No <br />Reason <br />Existing Fire Alarm <br />Yes No Unk <br />Fire Alarm Required <br />Yes No <br />Reason <br />Enclosure Law Req'd <br />Yes <br />Deferred Submittal Req'd <br />Yes No <br />Approved by: Date: ' Z /6 <br />Comments: 24i'Z 1,ec 0/✓S'io-C <br />•FEES <br />Plan Check Fee <br />'Z - <br />Building Permit <br />7I <br />Surcharge <br />Additional Plan Check <br />Plumbing Fee <br />106 <br />Mechanical Fee <br />Ping Bldg Review Fee <br />j Lf 3 - <br />Water Fee <br />Sewer Fee. <br />Systems Dev. Fee <br />Traffic Mitigation Fee <br />Public Works Fee <br />1 <br />School Mitigation Fee <br />PLANNING <br />Zoning Classification <br />Overlay/Agreement <br />" �— <br />Nonresidential Use <br />Residential Use JCi <br />Proposed No. of Dwelling Units: <br />Total No. of Dwelling Units: <br />Landscape or Planning Inspection / <br />needed before final? Yes No V <br />Planning Inspector: <br />Phone M �— <br />Approved Date: <br />Historic Approved by: Date: <br />School Mitigation Reqd? Yes _ Nod' <br />Everett School Dist Mukilteo School Dist <br /># of Net New Units: <br />Calculated School Impact Fee: <br />School Impact Fee Credit: <br />Total School Impact Fee Owed: <br />Comments: <br />PUBLIC WORKS..' ; <br />PW Permit Required? Yes_ No <br />Intake Checked By: '713 Date: 3 2 S -l6 <br />Comments: L(¢O' 's jo'vd� <br />PW 4,9 ��2q 2016 <br />Fire Sprinkler Required by Fire Dept? Yes_ No_ <br />(Fees: Yes/No, Explanation, Permit #'s, Amount) <br />Water Fee? <br />Yes - n W3y <br />Sewer Fee? (�— J <br />YEA — n CA) e <br />System Dev. Fee? <br />� w <br />Traffic Mitigation Fee? <br />N ws <br />LoT P�4Y5 <br />sp�). <br />C COX— <br />AfI f�S�/O__ 11 <br />YrZ►�a%�'�'rj <br />nz Avosif. <br />