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PERMIT# <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size S Zoning Classification <br /> Garage Size 0 S Overlay/Agreement <br /> VALUATION 260(11 O/ Nonresidential Use G <br /> Number of Stories Residential Use CJ <br /> Occupancy Group Q Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes— No -,4 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 <br /> nspector:Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved Date: C7j (0 <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Recd? Yes No <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law Req'd Yes #of Net New Units. <br /> Deferred Submittal Req'd Yes No <br /> Approved by: Date: 7 & Calculated School Impact Fee: <br /> Comments: ZO`Z IRC. School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments:{ (� l� &O (A(dif <br /> 0f � `� -A Wad ���IA <br /> 211�j �xj mn , <br /> FEES PUBLIC WORKS <br /> Plan Check Fee PW Permit Required? Yes A No <br /> Building Permit Intake Checked By: X13 Date:_ 4-28-1,6 <br /> Surcharge Comments: Sb»�f PCQ�J <br /> Additional Plan Check NJ <br /> Plumbing Fee I � "0 ,, �'��Mechanical Fee l.e l� <br /> Ping Bldg Review Fee Fire Sprinkler Required by Fire Dept?Yes_No <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 /> �3 <br />