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FOR OFFICE USE ONLY PERMIT# til°`(ot 0-'002 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification 11 <br /> Size ,pG 3) 3 Overlay/Agreement <br /> VALUATION 7 825 Nonresidential Use <br /> Number of Stories Residential Use ' �SIAQ(-i-r <br /> Ervlfli/re 5 <br /> Occupancy Group Proposed No.of Dwelling Units: ----- <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No_ Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No X <br /> Existing Sprinkler System? Yes No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: Y... A Date: 10-11-1 c <br /> Existing Fire Alarm Yes No_Unk Historic Approved 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: Date:Z/J/7 School Impact Fee Credit: <br /> Comments: Zo/s-- / .0 Total School Impact Fee Owed: <br /> Comments: <br /> .cP&mac.. //✓5P6 / /z,66114) <br /> �i(/l/A.J/ _ _.,e Of t,6C-4:a. <br /> Intake OK by: Y-14 <br /> Intake OK by:\11- <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: JF Date: /0-1/-zeris <br /> Plan Check Fee Intake Comments: ,A, „ � <br /> Building Permit NQ Qw lin C�J�w W1 b c <br /> Surcharge <br /> Additional Plan Check .Public Works/Sys Dev/Traffic Mitigation-NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concur ent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:,..2E3 Date: /0-/F Z0/6 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes_ No_ Existing Bldg. <br /> Update/New Detection Yes No Existing Bldg. <br /> Update/New Chemical Yes_ No_ Existing Bldg. <br /> Update/New Fire Service Yes_ No Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br />