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FOR OFFICE USE ONLY PERMIT# 6 010-0069 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size .112.x, i Zoning Classification <br /> Garage Size LW 41 Overlay/Agreement <br /> VALUATION ' 21 1 \3 Nonresidential Use <br /> Number of Stories 2 Residential Use <br /> Occupancy Group )211/, Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> • <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: <br /> Fire Sprinkler Required Yes_ No._ Phone#: dAZ <br /> Reason Approved by e fp 6((---7 <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approve,SI 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: Cht Date:6//2/f School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> 2115 .)-128 4 1, 9 S 0 ,) Comments: <br /> PUBLIC WORKS <br /> FEES Intake Checked By: Date: <br /> Plan Check Fee Intake Comments: <br /> Building Permit <br /> Surcharge <br /> Additional Plan Check PW Permit Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet Required? Yes No <br /> Mechanical Fee PW REVIEW: PW Reviewer: Al" Date: 6 '/,3- /7 <br /> Ping Bldg Review Fee SEE PW WORKSHEET-returned to file <br /> Water Fee K 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 />