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PERMIT# bit) 1512--001 <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING o <br /> Bldg/TI/Addn/Rem Size ,'?F° //L Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> No. of Stories 2_ Residential Use <br /> Occupancy Group /7 -- I Proposed No. of Dwelling Units: <br /> Occupant Load Al /q Total No. of Dwelling Units: <br /> Basement Yes No vFin/Unf Landscape or Planning Inspection <br /> Type of Construction lZneeded before final? Yes_ No <br /> Exstg Sprinkler System? Yes No Unk V,. Planning Inspector: <br /> Fire Sprink Reqd? Yes_ No p- Phone#: <br /> Reason Approved by: Date: <br /> Exstg Fire Alarm? Yes_ No_Unk `---- Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes_ No School Mitigation Reqd? Yes_ No <br /> Reason q Everett School Dist Mukilteo School Dist <br /> Enclosure(RC 755) Yes_ No #of Net New Units: <br /> Approved by:,/ <br /> /J�/l Date: 0 _y -/f Calculated School Impact Fee: <br /> Comments School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> ill rep/acepre-r <br /> f boort-.-, Wi/by,� Jk-i s17 <br /> AiirQ / YQ i 1 <br /> iz4/'— /7zv�j <br /> FEES PUBLIC WORKS <br /> Plan Check Fee PW Permit Required? Yes No <br /> Building Permit Intake Checked By: Date: <br /> Surcharge Comments: <br /> Additional Plan Check <br /> Plumbing Fee <br /> Mechanical Fee not (� •'w 41 l M ' rini <br /> Ping Bldg Review Fee Fire Sprinkler Required i4 Fire Dept?Yes No Li <br /> Water Fee (Fees: Yes/No, Explanation, Permit#'s,Amount) <br /> Sewer Fee Water Fee? Sewer Fee? <br /> Systems Dev. Fee <br /> Traffic Mitigation Fee <br /> Public Works Fee System Dev. Fee? Traffic Mitigation Fee? <br /> School Mitigation Fee <br /> • <br /> 7,12, <br />