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FOR OFFICE USE ONLY PERMIT# v �'O4 -- <br /> BUILDING PLANNING, 1 <br /> Bldg/TI/Addn/Rem Size 7 LI U Zoning Classification NAV <br /> Garage Size Overlay/Agreement laU 0 <br /> VALUATION Nonresidential Use ;SIAI)PPuN(r N <br /> L£. —i i / (-y�(„pCci � ;e <br /> r <br /> Number of Stories ( Residential Use <br /> Occupancy Group A Proposed No. of Dwelling Units: •— <br /> Occupant Load 3 U Total No.of Dwelling Units: r, <br /> Basement. Yes_ No_Fin/Unf Landscape or.Planning Inspection <br /> Type of Construction V Q needed before final? Yes_ No <br /> Existing Sprinkler System? Yes No ✓Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No.i Phone#: <br /> Reason Approved bf%1& Date: 111 .1 l0 <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 School Dist <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submi al Req'd Yes No Calculated School Impact Fee: <br /> Approved by: !-'- Dateg-)O_I ( School Impact Fee Credit: <br /> Comment . Total School Impact Fee Owed: <br /> Comments: <br /> SYvl 6 I 111 ,AN12) <br /> PUBLIC WORK $_ 3, Zt7f t <br /> FEES Intake Checked By: ' E 4-- Date inte <br /> Plan Check Fee Intake Comments: go l ij710.}82,„4,4 //j �yy� <br /> Building Permit pat j .L ��? /f-., No• <br /> Surcharge <S ,S' ci r,�u� f � <br /> Additional Plan Check _ PW.Permit Application Su mitted? Yes No <br /> Plumbing Fee PW Worksheet Required? Yes No c <br /> Mechanical Fee PW REVIEW: PW Reviewer: A Date: 3'-30--20/E <br /> Ping Bldg Review Fee Will-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 by: Date: <br /> Comments: <br /> V <br />