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FOR OFFICE USE ONLY PERMIT# fW 1 (0°1-'0° <br /> Bldg/TI/Addn/Rem Size Zoning Classification R-Z <br /> , K <br /> geSize /.c .5,/ Overlay/Agreement v F r 0 <br /> VALUATION j Ss- Nonresidential Use <br /> Number of Stories Residential Use J E12 <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: t <br /> Basement Yes_ No—Fin/Unf Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes No x <br /> Existing Sprinkler System? Yes_ No,Unk Planning Inspector: <br /> Fire Sprinkler Required Yes— No_ Phone#: <br /> Reason Approved by: K, 3 Date: ci-7,-,._-1k, <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 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:9/204a School Impact Fee Credit <br /> Comments: f --- 112.,c. Total School Impact Fee Owed: _ <br /> Comments: . <br /> \.SI-\- oV-x 1 to 'l 14-* OPEnv �,•A - <br /> 4ERNikeitigigt,'Scag, <br /> 3;'�' '�ik.�..r k `{`� Intake Checked By. t Date: .q t'-Zo/d <br /> Plan Check Fee Intake Comments: N0 low <br /> y urn6.,i f 4_ <br /> Building Permit <br /> Surcharge <br /> Additional Plan Check - - PVI!"PeTmitApplicatiiolf Submitted? Yes - -- o-- - <br /> Plumbing Fee PW Worksheet Required? ' Yes No X <br /> Mechanical Fee P REVIEW: PW Reviewer:�E:4- Date: T"{i-7,15 <br /> Ping Bldg Review Fee CV(I SEE PW WORKSHEET-returned to file <br /> Water Fee - PW Permit Approved, PW Permit Not Required <br /> Sewer Fee <br /> Systems Dev. Fee FIRE DEPARMION .; <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 /> V r <br />