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' 9q4 1 b FOR OFFICE USE ONLY H PERMIT# 11 O'5-O0 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 2fib 16 't' Zoning Classification <br /> Garage Size 1-101 l Overlay/Agreement <br /> VALUATION N'1, Ki V Nonresidential Use <br /> Number of Stories 2 Residential Use <br /> Occupancy Group 11.RI 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 It6 needed before final? Yes_ No_ <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: /' <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approved b . , Aiiillei ;ate: Sit <br /> Existing Fire Alarm Yes_ No—Unk Historic ppr. ed 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: cliff' Date:/1/7 School Impact Fee Credit: <br /> Comments: ,/�� Total School Impact Fee Owed: <br /> Xy1155 � I'LC 4 b C) Comments: - <br /> PUBLIC WORKS . <br /> FEES Intake Checked By: Date: <br /> Plan Check Fee Intake Comments: ' x <br /> Building Permit Pw i-i b�"O W <br /> Surcharge <br /> Additional Plan Check i PW Permit Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet Required? Yes No <br /> Mechanical Fee PW REVIEW: PW Reviewer:/ Date:5:25---/ 7 <br /> Ping Bldg Review Fee SEE PW WORKSHEET-returned to file ` <br /> Water Fee }(r 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 />