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0 0 ..r...1 a el ,r, <br /> (rq, �(�, FOR OFFICE USE ONLY PERMIT# ►S) [,% (1c4 <br /> �VJ� <br /> BUILDING PLANNING <br /> igh Bldg/TI/Addn/Rem Size Zoning Classification <br /> M. tiara Size. f Overlay/Agreement <br /> VAL\\UATIO It 1-- I Nonresidential Use <br /> Numb�re neS#c es 2 Residential Use <br /> Occupancy Group P-1.V Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes Not Fin/Unf Landscape or Planning Inspection <br /> Type of Construction Inh needed before final? Yes_ No— <br /> Existing Sprinkler System? Yes No—Unk Planning Inspector: ,' <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approve may: a e:_ 3 I Zvi 0 <br /> Existing Fire Alarm Yes— No Unk Historic App oved 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: e,f l( Date:31104$ School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> 411 (2-b 15 (12G 4 C C'J Comments: - <br /> PUBLIC WORK f 7 <br /> FEES Intake Checked By: < " ' Date: 14—i1g <br /> Plan Check Fee Intake Comments: �� ,n - I� <br /> Building Permit I/�v" P eit4Ab <br /> Surcharge <br /> Additional Plan Check PW Permit Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet Required? Yes No a <br /> Mechanical Fee PW REVIEW: PW Reviewer Date: (4'2-�D <br /> Ping Bldg Review Fee SEE PW WORKSHEET-returned to file <br /> Water Fee 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 Approved by: No Existing Bldg. <br /> Date: <br /> Comments: <br /> A.ofi (-""- <br />