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6PERMIT# I <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 51 vi' Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories 3 Residential Use <br /> Occupancy Group - Z Proposed No. of Dwelling Units: <br /> Occupant Load 1 2 Total No. of Dwelling Units: <br /> Basement Yes V No Fin/Unf Landscape or Planning Inspection / <br /> Type of Construction ✓— 6 needed before final? Yes_ No L---- <br /> ----- <br /> Existing Sprinkler System?Yes_ No LUnk Planning Inspector: <br /> — — <br /> Fire Sprinkler Required Yes No V Phone#: <br /> Reason Approve Date: J 2 //q,_,-, <br /> Existing Fire Alarm Yes_ No 1/Unk_ <br /> ' / Historic Approved by: Date: <br /> Fire Alarm Required Yes V No School Mitigation Reqd? 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 15). Date: if 8- I (, Calculated School Impact Fee: <br /> Comments: School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: u5' y tj/-C'S busfi'Jess <br /> t c nsew/Q Coe a€,ilc <br /> YVl 61L -I I YV:ia,k n14'6,2 <br /> FEES PUBLIC WORKS <br /> Plan Check Fee 1 P -,5( PW Permit Required? Yes No x <br /> Building Permit Z767 Intake Checked By: Ki3 Date: 3-14 --/ ,- <br /> Surcharge <br /> J °Surcharge 4• Comments: <br /> r <br /> Additional Plan Check <br /> Plumbing Fee <br /> Mechanical Fee <br /> Ping Bldg Review Fee 7i 7 • 3 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 /> 42,- <br />