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FOR OFFICE USE ONLY • PERMIT# C-16y�O -O Zs <br /> BUILDING ..LL PLANNING <br /> Bldg/TI/Addn/Rem Size 2--TO le Zoning Classification <br /> Garage Size % Sf' Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use :5 HL <br /> Occupancy Group 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 713 needed before final? Yes /( No <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: Q_ <br /> Fire Sprinkler Required Yes No. Phone#: <br /> Reason Approved by: Date: –�5— <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes L No <br /> Reason Everett School Dist_2< 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: Date: School Impact Fee Credit: <br /> '44Comments: Z1J/:z he C- ivs�,zc Total School Impact Fee Owed: I CWZ, <br /> Comments: <br /> Gka�r�,G f{duSC �lt.�r di• to <br /> PUBLIC WORKS <br /> FEES Intake Checked By: Date: <br /> Plan Check Fee Intake Comments: <br /> Building Permit G � `l� <br /> Surcharge C) ✓cl� T 0 <br /> Additional Plan Check PW Permit Application Submitted? Yes No <br /> Plumbing Fee l © OCA PW Worksheet Required? Yes No <br /> Mechanical Fee PW REVIEW: PW Reviewer: Date: <br /> Ping Bldg Review Fee o2( C7 SEE PW WORKSHEET-returned to file <br /> Water Fee PW Permit Approved, PW Permit Not Required <br /> Sewer Fee �� •�i� <br /> Systems Dev. Fee FIRE DEPARTMENT <br /> Traffic Mitigation Fee P Update/New Sprinklers Yes_ No Existing Bldg._ <br /> Public Works Fee Update/New Detection Yes_ No_ Existing Bldg._ <br /> School Mitigation Fee ©`10� Update/New Chemical Yes No Existing Bldg._ <br /> Update/New Fire Service Yes No Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br />