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Is ,y <br /> 4/1-AL t/Cr4en a/p FOR OFFICE USE ONLY PERMIT# c-,,' `p,0�//v , I <br /> BUILDING Fr iy PLANNING <br /> Bldg/TI/6dd em Size 704/ Zoning Classification <br /> Garage Size S Overlay/Agreement NO VVI <br /> VALUATION Nonresidential Use c A <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: (�s <br /> Basement Yes_ No Fin/Unf Landscape or Planning Inspection N y <br /> Type of Construction needed before final? Yes_ No V� <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: U <br /> Fire Sprinkler Required Yes— No— Phone#: <br /> Reason Approved by: Date: V) 0 S <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 lYes_ #of Net New Units: <br /> Deferred Submittal Req'd I.Yes_ No_ Calculated School Impact Fee: <br /> Approved by: Date: School Impact Fee Credit: <br /> Comments: 2�/S ARG UIS�c Total School Impact Fee Owed: <br /> Com ents: <br /> ef <br /> PUBLIC WORKS , <br /> FEES Intake Checked By: /a Date: ST/// / <br /> Plan Check Fee Intake Comments: "s/r <br /> Building Permit &IIZZ "C26/f CIC CLZOUf d1r6;0La L <br /> Surcharge &? burloliho rmif�CLic�f c� Sct/rt`no>V <br /> Additional Plan Check PW Permit Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet Required? Yes X ,No <br /> Mechanical Fee PW REVIEW: PW Reviewer: R± Date: b <br /> Ping Bldg Review Fee 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 /> 4 <br />