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FOR OFFICE USE ONLY PERMIT# CA010-0Z`� <br /> U1' <br /> BUILDING PLANNING <br /> —??LGBldgflh/Addn/Rem Size /775 Zoning Classification R--')1.– <br /> Garage <br /> arage Size 2 Z. Overlay/Agreement <br /> VALUATION 2.17, /00 Nonresidential Use <br /> Number of Stories 3 Residential Use <br /> Occupancy Group /e,/a Proposed No.of Dwelling Units: r <br /> Occupant Load Total No.of Dwelling Units: I <br /> Basement Yes_ No X Fin/Unf Landscape or Planning Inspection <br /> Type of Construction 178, needed before final? Yes '( No— <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: 4,4Q,. 1 n s11c <br /> Fire Sprinkler Required Yes_ No._ Phone#: 112 _ZSR -113 <br /> Reason Approved by: K, 1 a Date: -7.25-1( <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 7( Mukilteo School Dist <br /> Enclosure Law Applies Yes #of Net New Units: ( <br /> Deferred Submittal Req'd Yes_ No_ Calculated School Impact Fee: I CA'2_ <br /> Approved by: C7171, Date: 7/Z616 School Impact Fee Credit: /" <br /> Comments: Zo`Z xC ¢ ofgc Total School Impact Fee Owed: I OrZ <br /> Comments: <br /> PUBLIC WORKS <br /> FEES Intake Checked By: Date: <br /> % lan Check Fee Intake Comments: <br /> uilding Permit 61e/ q 6-Y a <br /> �J�' <br /> Surcharge 1)Cj V U <br /> //Additional Plan Check PW Permit Application Submitted? Yes No <br /> -✓Plumbing Fee PW Worksheet Required? Yes No <br /> Vechanical Fee PW REVIEW: PW Reviewer: Date: <br /> Ing Bldg Review Fee SEE PW WORKSHEET-returned to file <br /> k/Water Fee PW Permit Approved, PW Permit Not Required <br /> ✓Sewer Fee <br /> i\./Systems Dev. Fee FIRE DEPARTMENT <br /> /affic Mitigation Fee Update/New Sprinklers Yes_ No_ Existing Bldg._, <br /> IPu lic Works Fee, Update/New Detection Yes— No Existing Bldg. <br /> 1,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 /> 7* <br /> r <br /> �r <br />