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FOR OFFICE USE ONLY PERMIT# I� t Io1 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> NY-- <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use J 1'JT [ .1 M- <br /> Number of Stories j Residential Use <br /> Occupancy Group V 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 STIL 5L-A 43 S needed before final? Yes_ No <br /> Existing Sprinkler System? Yes No /Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved b ' 7' <br /> y Date: 10 /2o/ ,( <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 A es Yes #of Net New Units: <br /> Deferred Submitt Reqs __Yes No Calculated School lmpac - - <br /> Approved by: ��/j1 Date:J l .3_f G School Im.. -e Credit: <br /> Comments: - Teral"- c-Tiool Impact Fee Owed: <br /> Comments:- <br /> _d ao/GttArtc (J/14.00t 0/1/ <br /> Intake OK by: <br /> Intake OK by: ,( l'f1 <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: U Date: CQ-z@- vb <br /> Plan Check Fee Intake Comments: //5• ry <br /> '�I ICa fAbSm'ty <br /> Building Permit do ,: . Pid• <br /> Surcharge ��{{ <br /> Additional Plan Check V!I 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: 3 Date:t(B'Z0~ZO/6 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee rsrd 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 />