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FOR OFFICE USE ONLY <br />PERMIT # `" l u m -_0 0 <br />•:r <br />S <br />I3L1I <br />�._d..^iize <br />q 1 k <br />IN <br />Bldg/T1 <br />5S,W RGIk/ <br />Garage Size <br />Z n ` <br />VALUATION <br />✓� <br />Number of Stories <br />Occupancy Group <br />L! <br />Occupant Load <br />Basement <br />Yes — No Fin/Unf <br />Type of Construction <br />EAsting 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 Applies <br />Yes _ <br />Deferred Submittal Req'd <br />Yes No <br />Approved by: Date: (® <br />Comments: z��� �� � (v-<-- <br />s :'uT'': i.}.2>1�;N '.}e, t.4? e'--�'„H s..�i•_n.3i <br />u-s$'1=iy +$'�'�I�'r�' .r:'i� <br />,.s. ..fir--, �`"k�:r�'�"�•u•.. <br />•§•*cJT. _eat .,-..�'Rt7��_ S._ �. �N; . <br />'Eh+=:s izT <br />,:L-4::,;:_z^:,"F`.w �i'i4� '#�,:•.�:�::sr''=�;r. r�..�^; <br />- - <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Plumbing Fee <br />Mechanical Fee <br />Ping Bldg Review Fee <br />Water Fee <br />Sewer Fee <br />Systems Dev. Fee <br />Traffic Mitigation Fee <br />Public Works Fee <br />School Mitigation Fee <br />NIA <br />c^t. 7 <br />Zoning Classification <br />r`- <br />Overlay/Agreement <br />Nonresidential Use <br />Residential Use <br />Proposed No. of Dwelling Units: <br />Total No. of Dwelling Units: <br />Landscape or Planning Inspection <br />needed before final? Yes No Y <br />Planning Inspector: <br />Phone #: <br />'1 -- <br />Approved by: Date: I •Z - J Y� - <br />Historic Approved by: Date: <br />School Mitigation Reqd? Yes _ No 7� <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 />N OKI' fv+D 1.75'Aru-� <br />s-"L....c•:r :ns:.wc,:n F,x: n *i Y> ,iT i` k'r..;: r:F �' Wit.'?r'j,.•y : s'•:? :-,.., _ :�y; <br />Intake Checked By: Date: <br />Intake Comments: 'W I-to(—810 <br />PVC!-PermitApplica-trot-Submitted? -yes-- - --No:== - <br />PW Worksheet Required? Yes N <br />P VIEW: PW Reviewer: Date: <br />EE PW WORKSHEET returned to file <br />PW Permit Approved, PW Permit Not Required <br />Update/New Sprinklers <br />Yes. <br />No <br />_ Exlstin Bldg. - <br />Update/ New Detection <br />Yes _ <br />No <br />_ Existing Bldg. _. <br />Update/ New Chemical <br />Yes — <br />No <br />_ Existing Bldg. , <br />Update/ New Fire Service <br />Yes — <br />No <br />_ Existing Bldg. ___. <br />Approved by: <br />Date: <br />Comments: <br />