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W w <br /> FOR OFFICE USE ONLY PERMIT# 61626 5'0 L( <br /> BUILDING PLANNING <br /> •Bldg/Tl 1Rem Size = Zoning Classification L_ <br /> Garage Size Overlay/Agreement <br /> VALUATION Lc)47q Nonresidential Use <br /> Number of Stories Residential Use S i::(2-- <br /> . <br /> Occupancy Group U4• Proposed No. of Dwelling Units: �---- <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes No, Fin/Unf Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes No <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: / <br /> Reason Approved by: I , J1;�,,,,c? Date: 4/ / i hp <br /> Existing Fire Alarm Yes No Unk Historic Approved by: ' Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes No Y. <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submittal Reqd Yes_ No_ Calculated School Impact Fee: <br /> Approved by: ;' Dater$ / School Impact Fee Credit: <br /> Comments: /,01n: / 26, 4„ SSEc.. Total School Impact Fee Owed: i <br /> Comments: <br /> PUBLIC WORKS ._, <br /> FEES Intake Checked By: .,;:- .T Date: 8 -6 <br /> Plan Check Fee Intake Co ments: No fedeayl��,E4� <br /> Building Permit No Cl� a( U <br /> Surcharge ,�/a/ S L bkM'• <br /> Additional Plan Check PW Permi Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet Required? Yes No <br /> Mechanical Fee PW REVIEW: PW Reviewer: Date: $ ZFJ/-( <br /> Ping Bldg Review Fee k 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 /> Zi 2 <br />