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0 0 <br /> FOR OFFICE USE ONLY PERMIT# C-C \ O 1 — CO <br /> BUILDING PLANNING <br /> :Idg I/Addn/Rem Size 9Z7 5f Zoning Classification 'le --c4e2i. .....„ <br /> Garage Size q8o .5 Overlay/Agreement <br /> VALUATION /5"93Df Nonresidential Use <br /> Number of Stories /� Residential Use cF Q + ) WV -- V i - <br /> Occupancy Group g/u Proposed No.of Dwelling Units: 1, ADT-Allt \\.Pct, <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No X Yes Fin / Unfin Landscape or Planning Inspection / <br /> Type of Construction needed before final? Yes No V <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: / <br /> Reason Approved dir\ Date: <br /> I illk/1-9-- <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes No <br /> Reason Everett School Dist Mukilteo Scho <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submittal Req'd Yes No_ Calculated Schoo act Fee: <br /> Approved by: mil' Date:2/27//7 School act Fee Credit: <br /> Comments: 20 t J� //CC . kJ„ C otal School Impact Fee Owed: 1 of 1 <br /> l Comments: - V 4 �q <br /> 46 VC p <br /> !� rvl AL, <br /> Intake OK by: "il&� al, t'' <br /> �� <br /> Intake OK by:A <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Ki3 Date: j-3 -1 7 <br /> Plan Check Fee Comments: w%LL h ono re t v)fo co ro(ri 9arclevi <br /> a <br /> Building Permit Z 0_.{key) pLan Looks 3enerALty OkiU <br /> 0 <br /> Surcharge High Hazard Sites(Dental,Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ® Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee AI <br /> REVIEW: PW Reviewer: 429 Date: 2-3-1 7 <br /> r Water Fee PW Permit Approved-PW / 702 —004— <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev.Fee ❑ PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes_ No Existing Bldg. <br /> Update/New Detection Yes No Existing Bldg. <br /> Update/New Chemical Yes_ No Existing Bldg. <br /> Update/New Fire Service Yes No— Existing Bldg. <br /> Approved by: Date: <br /> Comments: Cis:1) <br />