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FOR OFFICE USE ONLY PERMIT# 1 <br /> V ( <br /> y1 SOW <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 0 0 Zoning Classification C. F 5 <br /> Garage Size Overlay/Agreement __________ _ <br /> VALUATION 3 0 (CIS 6 00 Nonresidential Use (10 MMS,",C[Pj CE -t- LtAiZE.10.6E) <br /> Number of Stories 1 Residential Use • <br /> Occupancy Group 5— , Proposed No. of Dwelling Units: <br /> Occupant Load <J Total No. of Dwelling Units: <br /> Basement Yes_ No V'Fin/Unf Landscape or Planning Inspection <br /> Type of Construction I — 13 needed before final? Yes No 1------- ^ <br /> Existing Sprinkler System? Yes i/ No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes /./No Phone#: <br /> i <br /> Reason I I Approved w�;l`' Date: 1,C11,::-•?� ' (c <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 SchoO1 Dist <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submittal[2eq'd Yes L. No Calculated School I act Fee: <br /> Approved by: ill,, Date: I -1_-J 6• School Imps ee Credit: <br /> Comments:' ' Total ool Impact Fee Owed: <br /> Comments: ACCoki 1 C1 Fy`1 I ' <br /> f I' : ' r ,t tt I / <br /> !�.,' ,.res . ^ -rel 0 <br /> s YV1 o Inc 11711-Alte) <br /> PUBLIC WORKS <br /> FEES Intake Checked By: ----' Date: <br /> Plan Check Fee Intake Comments: Enutila /!1/l€S -Rahn BAN fh't..A. 11AN ') <br /> BuildingPermit ell 10 I6 1 r add/Mini"( War fl mi K' i <br /> /� <br /> Surcharge h (duesitennalrE, Dnlue AA/ 1r` eP/`4)• <br /> _Additional Plan Check PW Permit Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet Required? Yes No _ n� <br /> Mechanical Fee PW REVIEW: PW Reviewer: Date: IZ-1-20/d �C <br /> Ping Bldg Review Fee X SEE PW WORKSHEET-returned to file <br /> Water Fee X .PW Permit Approved, PW Permit Not Required <br /> Sewer Fee 1.4 PLOW -001 <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 ;K 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: - --•;4 ? ,: Date: I Z/7/ I 6Comments: 1 <br /> Mai Li;- O t7 ' 1 VC, <br /> vidi Cel <br /> C.1";/(; <br />