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FOR ' �� USEONLYPFRMIT# CI(P09 -00A <br /> di BUILDING F-- WNNINO ' <br /> Bldg/T1 .0/Rem Size 70 c ;Zoning Classification r ^ <br /> Garage Size S'LJ S1: &Overlay/Agreement <br /> VALUATION /03) 4E5 Nonresidential Use <br /> Number of Stories 2 I Residential Use SF—W, <br /> Occupancy Group /ii Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: 1 <br /> Basement Yes j No &Urrf Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes__ No i— <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved b . Date: I ` I'2_1 ) 1 ` <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: _------ <br /> Fire <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes No ��/ <br /> Reason Everett School Dist Mukilte.o S6hool Dist <br /> Enclosure Law Applies Yes #of Net New Units: �' <br /> Deferred Submittal Req'd Yes No <br /> Approved by: "/ Date:////6//0 Calculated Sc "ol Impact Fee: <br /> Comments: Zp6--/4C f�' zo/S tfvs z___ School pact Fee Credit: <br /> al School Impact Fee Owed: <br /> Comments: tiank_,1 �y/�vt .t'tetL ,� <br /> +ALtatiCI--- OTT <br /> ()(L stit (LC -71- f{ " 15^ c k <br /> FEES PUBLIC WORKS <br /> Plan Check Fee Intake Checked By),.j 4- Date: 7-L- ZO/G <br /> Building Permit Intake Comments: /J0 P/c} („o is itA --/70 /1 'FT fpy <br /> Surcharge Sfiorrnwd. 2- al1c IvPay ft t,° En,;/bn oen,4D-(01 eJrr <br /> Additional Plan Check PW Permit Application Submitted? Yes No V t'0 bc rrne'f <br /> ra <br /> Plumbing Fee PW Worksheet Required? )) Yes No . <br /> 5./ ( <br /> Mechanical Fee PW REVIEW: PW Reviewer :'' Date: 9-/-7Q16 <br /> Ping Bldg Review Fee N fr' SEE PW WORKSHEET-returned to file <br /> Water Fee PW Permit Approved, x 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 />