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n'20 <br /> FOR OFFICE USE ONLY PERMIT# & \1011 0°9 <br /> BUILDING n PLANNING <br /> Bldg/TI/Addn/Rem Size 255 ? rti Zoning Classification <br /> Garage Size L61 C Overlay/Agreement <br /> VALUATION 9--'1 ) j Nonresidential Use <br /> Number of Stories 2 Residential Use <br /> Occupancy Group RI v L Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes_ No Fin/Unf Landscape or Planning Inspection <br /> Type of Construction it?) needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No._ Phone#: / /f <br /> Reason Approved by: -Date: bJ 13 f(- <br /> Existing Fire Alarm Yes_ No_Unf Historic Approv by: Date: 111 f <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: °CO' Date:to//x7/7 School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> I <br /> OIG l i2c + W 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: A-8 Date: 4 43-1 7 <br /> Ping Bldg Review Fee SEE,PW WORKSHEET-returned to file <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 /> ( i2 <br />