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• i <br /> FOR OFFICE USE ONLY PERMIT# G l (o D Co -0 <br /> BUILDING PLANNING <br /> •11 TI/Addn/Rem Size 31), Zoning Classification IS <br /> Garage Size /2-/S Overlay/Agreement <br /> VALUATION o s'6;;'` ltj¢ Nonresidential Use <br /> Number of Stories Ci / Residential Use I fl*a.G1nett Sfc. <br /> Occupancy Group P./(A Proposed No. of Dwelling Units: 1 <br /> Occupant Load Total No. of Dwelling Units: 1 <br /> Basement Yes X No Pin/ of Landscape or Planning Inspection <br /> Type of Construction `, needed before final? Yes No X( <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: / <br /> Reason Approved by: f1 .� Date: 1\- 7,3,'I(0 <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes X No <br /> Reason Everett School Dist Mukilteo School Dist :K <br /> Enclosure Law Applies Yes #of Net New Units: 1 <br /> Deferred Submittal Re 'd Yes No Calculated School Impact Fee: "N H <br /> Approved by: Date:///7!/t., School Impact Fee Credit: <br /> Comments: Z f C/l is. /A(.., 1 tt.3 S 0C Total School Impact Fee Owed: 3ci 1-1 Comments: oA tt,,q,1 Cp4 rettAre-O,1 (;t, ,N P`ret1/4- <br /> C.c•itv►o - (tr.*..d <br /> . c -o \ _ <br /> PUBLIC WORKS "/ <br /> FEES Intake Checked By: ,A a;4- Date: a r 20"‘ <br /> Plan Check Fee 3(1'-{•(PL Intake Comments: /9- 4 t Sar�l7> t - <br /> Building Permit 41 13`1.50 Se.pa c_— 0101 /a.,Js per'.- /..loE_Si y --"Om v eft_ <br /> Surcharge 4.gD n-0II1�/l4� so„ .�� a/ 1 / Fitt 60 • <br /> Additional Plan Check .7. ?4 PW Permit Application Submitted? Yes No <br /> Plumbing Fee ZZD .DC PW Worksheet Required? Yes ' No <br /> Mechanical Fee i 5-0 .00 PW REVIEW: PW Reviewer:_.C-FA' Date: it—g—Daft <br /> Ping Bldg Review Fee -(S(,.`(' X SEE PW WORKSHEET-returned to file <br /> Water Fee l' cCICI,07' 017 /o.4- 2< PW Permit Approved, PW Permit Not Required <br /> Sewer Fee 70-cv 1903)S toi--O CiZ- <br /> Systems Dev. Fee ,z c! sr _ _ _ FIRE DEPARTMENT <br /> Traffic Mitigation Fee 0,.‘,sth.. /e-f. _ Update/New Sprinklers Yeses No C Existing Bldg. <br /> Public Works Fee `� $�-00 Update/New Detection Yes No Existing Bldg. <br /> School Mitigation Fee .. 61 / 1 O7, Update/New Chemical Yes No Existing Bldg. <br /> Update/New Fire Service Yes No Existing Bldg. <br /> Approved by: ^1 \ -- Date: l `_ ,- <br /> Comments: ( <br /> IJ <br /> zz <br />