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/119140 FOR OFFICE USE ONLY 'ERMIT# <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size `11 Zoning Classification <br /> Garage Size 426 t Overlay/Agreement q; <br /> VALUATION Z27 t ej21 Nonresidential Use <br /> Number of Stories 2 Residential Use <br /> Occupancy Group 1 (A 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 346 needed before final? Yes_ No <br /> Existing Sprinkler System? Yes No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No._ Phone#: <br /> Reason Approved / Date: 1 -71/1p, <br /> Existing Fire Alarm Yes- No Unk_ Historic Appr v d b f 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:9/77/// School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> W(y ( eC lit166 , Comments: <br /> PUBLIC WORKS <br /> FEES Intake Checked By: Date: — <br /> Plan Check Fee Intake Comments: <br /> Building Permit Rio U V, (1 L 0° _ S D p� <br /> Surcharge F( <br /> Additional Plan Check PW Permit Application Submitted? Yes >5' No <br /> Plumbing Fee PW Worksheet Required? Yes >( No <br /> Mechanical Fee PW REVIEW: PW Reviewer:A€" Date: 1-2,3—Ig <br /> Ping Bldg Review Fee K SEE PW WORKSHEET-returned to file ifyt, <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 />