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FOR OFFICE USE ONLY 'ERMIT# I(OD -..-0(..00 <br /> BUILDING I 1 . ..... <br /> LANNING, <br /> Bldg/TI/Addn/Rem Size 44- S Zoning Classification c(...1-. <br /> Garage Size Overlay/Agreement <br /> VALUATION \1, Nonresidential Use <br /> Number of Stories Residential Use SY.4 <br /> Occupancy Group V Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes_ Non/Unf Landscape or Planning Inspectio• <br /> Type of Construction V- needed before final? es_' No_ <br /> Existing Sprinkler System? Yes— No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes— No ,/ Phone#: <br /> Reason Approved by: Date: CO/l 51/ <br /> Existing Fire Alarm Yes_ No l Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes_ No_ <br /> Reason Everett School Dist Mukilteo S •so!Dist <br /> Enclosure Law Applies Yes— #of Net New Units: <br /> Deferred Submit Req'd Yes_ No_ <br /> Approved by: /44,, Date: 1 1-I C„ Calculated School pact Fee: <br /> Comments. School Impa, ee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: J fm,� jC,t\kg -QUA <br /> s'Wt OY-Nt l 4 u e) / Lee. II, <br /> - piAr I <br /> U <br /> • FEES. ;. PUBLIC WORKS . <br /> Plan Check Fee Intake Checked By: 1 S Date: 11 I <br /> Building Permit Intake Comments: / <br /> Surcharge '("�`„/- E. ?It,`,) <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: 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 /> Comments: <br /> r <br /> iL`Z <br /> i <br />