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PERMIT# G t" ' 1'b`� <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> BldglTl/Addn/Rem Size t 5_((p s.6-; Zoning Classification <br /> Garage Size 613 .f Overlay/Agreement <br /> VALUATION Z38i 753 Nonresidential Use <br /> Number of Stories 3 Residential Use <br /> Occupancy Group g/a Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes No X Fin/Unf Landscape or Planning Inspection <br /> Type of Construction 78 needed before final? Yes No_ <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes X No Phone#: <br /> Reason Approved by: 'L0' 6?) Date: )../` IQ <br /> Existing Fire Alarm Yes_ No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes / No <br /> Reason • Everett School Dist tf Mukilteo School Dist <br /> Enclosure Law Applies Yes #of Net New Units: ZOIU moi? rez. <br /> Deferred Submittal Req'd Yes_ No <br /> Approved by: � - <br /> 2�/Z �R Date: l/b/f'7 Calculated School Impact Fee: t, �O0 7ja,�i-i6 <br /> Comments: r C it School Impact Fee Credit: <br /> Total School Impact Fee Owed: 1,( 0,„,,°413 3 , <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee Intake Checked By: Date: <br /> Building Permit Intake Comments: (��I �( 1 (� <br /> Surcharge �,�,�/ V�Y��1'�L ` <br /> Additional Plan Check PW Permit Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet Required? Yes No <br /> Mechanical Fee PW REVIEW: PW Reviewer: /�.8 Date: /2 /S/i <br /> Ping Bldg Review Fee SEE PW WORKSHEET-returned to file <br /> Water Fee ' PW Permit Approved, 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 /> 4 <br />