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FOR OFFICE USE ONLY PERMIT# I0o%-Ott3 <br /> Bldg/TI/Addn/Rem Size 183 u Zoning Classification g-3 <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use (` <br /> 1 Number of Stories \ Residential Use y \ - <br /> Occupancy Group Proposed No.of Dwelling Units: 1 <br /> Occupant Load 1 S Total No.of Dwelling Units: <br /> Basement Yes_ No/Fin/Unf Landscape or Planning Inspection <br /> Type of Construction IA' 3 needed before final? Yes— No*. <br /> Existing Sprinkler System? Yes_ No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No___y_ <br /> Phone#: 1 <br /> Reason Approved by: Q Date: cg–?j0–1 b <br /> Existing Fire Alarm Yes_ No I./ 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 Apr 1f-s Yes_/ #of Net New Units: <br /> Deferred Submitt- -,,.'d Yes (/ No_ Calculated School Impact Fee: <br /> Approved by: Date:Y-'2 -J6 School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> Comments: <br /> kit- at.' W 11 PN-a <br /> BLIC WORT ., .. . . , s <br /> . ".. <br /> Intake Checked By: Date: <br /> Plan Check Fee q,43-Okp Intake Comments: <br /> Building Permit I Lt-5 .GS 6 O <br /> Surcharge 4-5o (044)- (60s--0 .7 <br /> Additional Plan Check PW Permit Application Submitted? Yes No <br /> Plumbing Fee �Q•rd .te.c PW Worksheet Required? Yes No <br /> Mechanical Fee 0 j qJ PW REVIEW: PW Reviewer: Date: <br /> Ping Bldg Review Fee (ys,$gp SEE PW WORKSHEET-returned to file <br /> Water Fee __ PW Permit Approved, PW Permit Not Required <br /> Sewer Fee 30.Da <br /> Systems Dev. Fee 2473•4,1 , , ,.. db. .._ ,. E1R) ©1=P-Akt til✓NT <br /> Traffic Mitigation Fee Update/New Sprinklers Yes_ No Existing Bldg._ <br /> Public Works Fee 1(5.00 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: )....,61., Date: aL– l– (S.. <br /> Comments: <br /> (.---).77;11:\ <br />