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• FOIA OFFICE USE ONLY *PERMIT# (,0f <br /> Av <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification � '� <br /> Garage Size $ Overlay/Agreement <br /> VALUATION '�il / Q Nonresidential Use <br /> Number of Stories 3 Residential Use <br /> Occupancy Group 1e— (A Proposed No. of Dwelling Units: 1 <br /> Occupant Load Total No. of Dwelling Units: I <br /> Basement Yes. No XFin/Unf_ Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes )( No <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: JQ— lnmrx). 1212 <br /> Fire Sprinkler Required Yes_ No. Phone#: L415-. S 7. S <br /> Reason Approved by: d Date: —ZS- <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes x No <br /> Reason 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: i-L. <br /> Approved by: Date: School Impact Fee Credit: <br /> Comments: -2,017— 11,'G WSJ- Total School Impact Fee Owed: (7 <br /> Comments: <br /> C 4&4z <br /> PUBLIC WORKS <br /> FEES Intake Checked By: Date: <br /> Plan Check Fee (C7 Intake Comments: <br /> Building Permit �• .s5 _ (, ��Q'1_� r�� <br /> Surcharge 5� w <br /> Additional Plan Check PW Permit Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet Required? Yes No <br /> Mechanical Fee Q PW REVIEW: PW Reviewer: Date: <br /> Ping Bldg Review Fee 0 SEE PW WORKSHEET-returned to file <br /> Water Fee oo PW Permit Approved, PW Permit Not Required <br /> Sewer Fee <br /> 4— <br /> Systems Dev. Fee FIRE DEPARTMENT <br /> Traffic Mitigation Fee IVUpdate/New Sprinklers Yes No Existing Bldg._ <br /> Public Works Fee �,Q��� 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 />