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FOR OFFICE USE ONLY PERMIT# C.I(00(0— O(0 <br /> BUILDIIdGz _ .,. .. ,i PL.p►NNNG.. <br /> Idg/ I/Addn/Rem Size ISit, 5i/ Zoning Classification --20L <br /> Garage Size (O1 �r. Overlay/Agreement <br /> VALUATION �/� _713 Nonresidential Use <br /> Number of Stories 3 Residential Use JQ- <br /> Occupancy Group A/u Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: 1 <br /> Basement Yes No Fin/Unf Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes No <br /> Existing Sprinkler System? Yes_ No Unk Planning Inspector: SA-e,1/41Z. In Tlste <br /> Fire Sprinkler Required Yes_ No_ Phone#: 141,5 .2.51.—113S— <br /> Reason <br /> Reason Approved by: Date: '-\j-I(o <br /> Existing Fire Alarm Yes No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes X No <br /> Reason Everett School Dist X Mukilteo School Dist <br /> Enclosure Law Applies Yes_ #of Net New Units: 1 Zile A7 <br /> Deferred Submittal Req'd Yes No_ Calculated School Impact Fee: JCPare &4.30 <br /> Approved by: Date:S/ /(p School Impact Fee Credit: <br /> Comments: 201 z H 2.0 frvs-- C. Total School Impact Fee Owed: 4'c542- 323 <br /> Comments: <br /> PURUC WORKs . <br /> 1= Intake Checked By: Date: <br /> Plan Check Fee Intake Comments: <br /> Building Permit <br /> Surcharge pwiog-c6R <br /> Additional Plan Check PW Permit Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet Required? Yes x No <br /> Mechanical Fee PW REVIEW: PW Reviewer: .K8 Date: g <br /> Ping Bldg Review Fee X SEE PW WORKSHEET-returned to file <br /> Water Fee PW Permit Approved, PW Permit Not Required <br /> Sewer Fee <br /> Systems Dev. Fee FSR DEPARTMI=NT <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 /> Clj/0 <br />