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V:131 <br /> FOR OFFICE USE ONLY 4.ERMIT# C 11,63'DZ?J :.. <br /> 1 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size fJ IS 4i Zoning Classification <br /> Garage Size 1 01 t Overlay/Agreement <br /> VALUATION 'M 2)) I'i V Nonresidential Use <br /> Number of Stories 2- Residential Use <br /> Occupancy Group 1 1A./ Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes_ No4.Fin/Unf Landscape or Planning Inspection <br /> Type of Construction I needed before final? Yes_ No_ <br /> Existing Sprinkler System? Yes_ No—Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No. Phone#: .– <br /> Reason Approvede: 1 1/-72(17 <br /> Existing Fire Alarm Yes_ No_Unk Historic Appro d by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ Id _ <br /> Reason Everett School Dist Mukilteo SchoolhhDist <br /> Enclosure Law Applies Yes_ #of Net New Units: <br /> Deferred Submittal Req'd Yes_ No_ Calculated School Impact Fee: <br /> Approved by: Date4//3/f) School Impact Fee Credit: <br /> Comments: ,,//�� / Total School Impact Fee Owed: <br /> q-bPL <br /> 155 f C' 4 b e.) Comments: - <br /> PUBLIC WORKS <br /> FEES Intake Checked By: Date: <br /> Plan Check Fee Intake Comments: <br /> Building Permit P-A) n �COSurcharge `�� [–( (� <br /> Additional Plan CheckPW Permit Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet Required? Yes No <br /> Mechanical Fee PW REVIEW: PW Reviewer: Date: <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 /> l Comments: <br />