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FOR OFFICE USE ONLY PERMIT# V( 11(0( 0 -o lQ <br /> BUILDING PLANNING <br /> n\ <br /> Bldg/TI'Addn Rem Size 4 5C Zoning Classification - 1 I \.A 'i' u <br /> Garage Size Overlay/Agreement — <br /> VALUATION sire k9_61°t ow Nonresidential Use C(MIA R -A-1."[-k-� <br /> Number of Stories \ Residential Use <br /> Occupancy Group 6/5 /A,2- Proposed No. of Dwelling Units: <br /> Occupant Load -- Total No.of Dwelling Units: <br /> Basement No NN_ Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction III [; needed before final? Yes No 1------- <br /> Existing Sprinkler System? Yes X No Unk Planning Inspector: - <br /> Fire Sprinkler Required Yes No )( Phone#: <br /> Reason AiDFJ C)1,1%1U51li;1 e' Approved �1 ,' Date: 0 f n 1 e <br /> Yes No Unk HistoricA rho ed'b : Date:..-- <br /> Existing Fire Alarm � pp y <br /> Fire Alarm Required Yes No'A School Mitigation Reqd? Yes No <br /> Reason 1'U 001 Everett School Dist Mukilteo School Dist __ ------"' <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submittal Req'd Yes No Calculated School Impact Fee: <br /> Approved by: MU 49(k,e) Date: tl '1 q•tb School Impact Fee Credit: <br /> Comments: ekivmiTotal School Impact Fee Owed: <br /> L b o3 -001 - S .. S A T E Comments: kittuk €' i NIA,0 iv`C9cA,utLt <br /> Intake OKl �I�, 1` G.{-{ 2, <br /> -JL— <br /> Intake OK by: r'fll„ <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By:j e J" Date: /C- -ZO/6 <br /> Plan Check Fee Intake Comments: No Nu 1 t <br /> Building Permit '1:/,.9,4- 0oalefiA.,ftmg <br /> Surcharge <br /> Additional Plan Check tk Public Works/Sys Dev/Traffic Mitigation- NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:_;4 Date: %D—/: —7o/‘ <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee El PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes No .7 Existing Bldg. <br /> Update/New Detection Yes No /Existing Bldg. <br /> Update/New Chemical Yes No /Existing Bldg. <br /> Update/New Fire S rvice Yes No Existing Bldg. <br /> Approved by: Date: jO -//;.. <br /> Comments: UV <br /> 24 <br />