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q1 ( FOR OFFICE USE ONLY PERMIT# <br /> 11 0 62,01 • <br /> BUILDING PLANNING <br /> di Bldg/TI/Addn/Rem Size 2f 16 Iii Zoning Classification <br /> 411. Garage Size Overlay/Agreement <br /> VALUATION M?)I 10 V Nonresidential Use <br /> Number of Stories 2 Residential Use <br /> Occupancy Group I V U Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes_ No _Fin/Unf Landscape or Planning Inspection <br /> Type of Construction 1n5 needed before final? Yes_ No_ <br /> Existing Sprinkler System? Yes_ No Unk Planning Inspector: ;' <br /> Fire Sprinkler Required Yes No. Phone#: <br /> Reason Approved by ate:t .130 <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 School Dist <br /> Enclosure Law Applies Yes— #of Net New Units: <br /> Deferred Submittal Req'd Yes_ No_ Calculated School Impact Fee: <br /> Approved by:-..A <br /> eA 466 vievAA,, Date41 j 11 1 School Impact Fee Credit: <br /> Comments: ,/� / Total School Impact Fee Owed: <br /> I5 I1ZG 4' )b C) Comments: <br /> III <br /> PUBLIC WORKS <br /> FEES Intake Checked By: Date: <br /> Plan Check Fee Intake Comments: <br /> Building Permit <br /> Surcharge <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: >ref Date: ,—//T <br /> Ping Bldg Review Fee _ SEE PW WORKSHEET-returned to file <br /> Water Fee K 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 /> 7/ <br />