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MAi3A,CdOW\ coUr <br /> FOR OFFICE USE ONLY PERMIT# h "V <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size SOO If Zoning Classification \ <br /> Garage Size Overlay/Agreement ,,1 <br /> VALUATION �8�,O C Nonresidential Use C.I\atcV <br /> Number of Stories Residential Use <br /> Occupancy Group 4--.3 Proposed No. of Dwelling Units: <br /> Occupant Load z016 Total No. of Dwelling Units: <br /> Basement Yes_ No4 Fin/Unf Landscape or Planning Inspection <br /> Type of Construction j•-5 needed before final? Yes No fr(+ <br /> Existing Sprinkler System? Yes No X Unk Planning Inspector: <br /> Fire Sprinkler Required Yes%C No Phone#: <br /> Reason Approved byC T Date: i'a71 Z.LAR <br /> Existing Fire Alarm Yes No ,_ Unk Historic Approved by: kI'( Date: <br /> Fire Alarm Required Yes X No School Mitigation Reqd? Yes No Ss_ <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes t/o X #of Net New Units: <br /> Deferred Sub 'ittal Reqd Yes No ,( Calculated School Impact Fee: <br /> Approved by; 4j Date:G'�,(¢/jg School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> Comments: J \ <br /> tkNr OLN 0 l tJrA-KE <br /> SWV \ oIL I ��• <br /> PUBLIC WORKS 'C51' <br /> FEES Intake Checked By: <5 Date: gyp- .q9 /t <br /> Plan Check Fee Intake Comments: g <br /> Building Permit 40(000 _ //Gf /P7/,p 'D`fec.¢ <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: Date: <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/ No_ Existing Bldg. <br /> Approved b : IM' "c" Date: 3-Vs 1"0 <br /> Comments. N42..-`1 \:A(.4 e 6�r-1G <br /> �i ve v41ct,.ty <br /> 124215J ova. <br />