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FOR OFFICE USE ONLY PERMIT# ` ' <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size C Q )'4 Zoning Classification J j 2, <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use 1iC.A-cel <br /> Number of Stories 1 Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load y 1./ Total No. of Dwelling Units: <br /> -- <br /> Basement Yes No V Fin/Unf Landscape or Planning Inspection <br /> Type of Construction ✓— 13 / needed before final? Yes_ No <br /> Existing Sprinkler System? Yes No ✓ Unk Planning Inspector: <br /> Fire Sprinkler Required Yes ✓ No Phone#: <br /> / <br /> Reason COPE Approved by:',- Date: „ I <br /> ,A <br /> Existing Fire Alarm Yes VNo Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes V No_ School Mitigation Reqd? Yes No <br /> Reason ,6 4. 5 4L. Everett School Dist Mukilteo School Dist <br /> Enclosure Law Ap lies Yes #of Net New Units: <br /> Deferred Submitta Req'd Yes No_ Calculated School Impact Fee: _ <br /> Approved by(... iM1 Date:`_ Jc-(6, School Impact Fee Credit: <br /> Comment: Total School Impact Fee Owed: <br /> Comments: _ <br /> �J^V��,�'� L pGllk:-cam <br /> t yie& 34. 20 ioo la) <br /> PUBLIC WORKS <br /> FEES Intake Checked By_ Date: -/ <br /> Plan Check Fee Intake Comments: /( <br /> Building Permit {)V s/9 . J e AYES <br /> Surcharge I-- �I r—N_ m!T > ,E,—Y Fs <br /> Additional Plan Check PW Permit Application Submitted? Yes / o <br /> ,,,_,..._ <br /> Plumbing Fee PW Worksheet Required? Yes '-- No <br /> Mechanical Fee PW REVIEW: PW Reviewer: E Date: 1---- —zol., JJ,`I� <br /> Ping Bldg Review Fee NIA-SEE PW WORKSHEET-returned to file—Sys'DEV Spirit;tsb <br /> Water Fee — PW Permit Approved, X PW Permit Not Required Mad/ <br /> Sewer Fee <br /> Systems Dev. Fee L 9. -I Q f, CE FIRE DEPARTMENT <br /> Traffic Mitigation Fee Update/New Sprinklers Yes J No Existing Bldg. ,/ <br /> Public Works Fee Update/New Detection Yes ./ No Existing Bldg. j <br /> School Mitigation Fee Update/New Chemical Yes No ,/ Existing Bldg. <br /> Update/New Fire Service Yes No .1 Existing Bldg. <br /> Approved by: ' Date: -kb <br /> Comments: <br />