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110.45t FOR OFFICE USE ONLY =ERMIT# CI l(Q 061"026 <br /> BUILDING �1 PLANNING <br /> 20Z2. fl)y_ Bldg/TI/Addn/Rem Size � Zoning Classification <br /> Garage Size 4/1 0 Overlay/Agreement <br /> VALUATION 2-501 Lill Nonresidential Use <br /> Number of Stories 2- Residential Use <br /> Occupancy Group 0.1/U 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 A needed before final? Yes_ No— <br /> Existing Sprinkler System? Yes_ No_Unf Planning Inspector: <br /> Fire Sprinkler Required Yes_ No._ Phone#: <br /> Reason Approved by' ate: (-2,7 <br /> (it, <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approve 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: DategJ/ZZJ/b School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> Q,,9l5 1 VG 4-14)6 6C-, Comments: <br /> PUBLIC WORKS <br /> FEES Intake Checked By: --- Date: <br /> Plan Check Fee Intake Comments: <br /> Building Permit plAJ/A Il60q,_Odf I <br /> Surcharge l 1 <br /> Additional Plan Check PW Permit Application Submitted? Yes`>c No <br /> Plumbing Fee PW Worksheet Required? Yes >( No <br /> Mechanical Fee PW REVIEW: PW Reviewer:, Date:/-2-3—VW#r , <br /> Ping Bldg Review Fee SEE PW WORKSHEET-returned to file UU <br /> Water Fee X 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 /> 6:17V.\\I <br />