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FOR OFFICE USE ONLY PERMIT# LA(p0(— 03' <br /> BUILDING. PLANNING . <br /> Bldg/TI/Addn/Rem Size /7 75 .S/ Zoning Classification R-31-- <br /> Garage Size Z$ ,` Overlay/Agreement <br /> VALUATION ZZI7//80 Nonresidential Use <br /> Number of Stories 3 Residential Use 5re-- <br /> Occupancy Group �//1 Proposed No.of Dwelling Units: 1 <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement, Yes_ No,X.Fin/Unf Landscape or Planning Inspection . <br /> Type of Construction ---K�j needed before final? Yes' No_ <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: §' JQ_ 1116016)9p <br /> Fire Sprinkler Required Yes_ No._ Phone#: 4 ZS 25-7— -713t— <br /> Reason Approved by: 1A.Ati d Date: "7—ZS- 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 K Mukilteo School Dist <br /> Enclosure Law Applies Yes_ #of Net New Units: <br /> Deferred Submittal Req'd Yes_ No_ Calculated School Impact Fee: (01 Z. <br /> Approved by: Date:7/6//(p School Impact Fee Credit: ..----- <br /> Comments: <br /> Comments: Z0/2 70ec Ws6G Total School Impact Fee Owed: 100(2-- <br /> Comments: <br /> ©0('ZComments: <br /> PUBLIC.WORKS <br /> FEES Intake Checked By: Date: <br /> Plan Check Fee Intake Comments: <br /> Building Permit Pw I / h3 —oS5 <br /> Surcharge �f 1 O V <br /> Additional Plan Check PW Permit Application Submitted? Yes Alt No <br /> Plumbing Fee PW Worksheet Required? Yes No ) <br /> Mechanical Fee PW REVIEW: PW Reviewer: it5 Date: 8 ---f -m <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 /> (,./ <br /> , <br />