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FOR OFFICE USE ONLY PERMIT# 21(09'6f <br /> BUILDING PLANNING: <br /> Bldg/TI/Addn/Rem SizeO2) 69 Zoning Classification '—� <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use "' <br /> Number of Stories Residential Use 14)0 t 'F pki,tcS. <br /> Occupancy Group 4Z, – Proposed No. of Dwelling Units: <br /> Occupant Load o P Total No.of Dwelling Units: <br /> Basement Yes_ No Fin/Unf Landscape or Planning Inspection <br /> Type of Construction \.- %, / needed before final? Yes_ No i.� <br /> V <br /> Existing Sprinkler System? Yes_ No Vnk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No / Phone#: <br /> Reason / Approved byl Date: I 11 i'/il <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 Schoo !' <br /> Enclosure Law Applies Yes >Q #of Net New Units: <br /> Deferred Submittal R .4 Yes_ No_ Calculated School a. ct Fee: <br /> Approved by: J Date:/ 1.. / – 6 C School I •_.Ct Fee Credit: <br /> Comments: : - School Impact Fee Owed: <br /> Comments IAj,. o i <br /> 5 <br /> P.0 lk.kkijk, PIRO;19 7+2- Gtok 1(2,441Q4)kg., <br /> 0 re A._ e au rrNlN ....... <br /> PUBLIC WORKS <br /> FEES Intake Checked By: Date: .oi I <br /> T✓ 1' -0 <br /> Plan Check Fee Intake Comments: <br /> Building Permit n-„ pt `goel,049/6-- <br /> 7 <br /> Surcharge �,�J(/ (l(fAdditional Plan Check PW Permit Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet.Required? Yes V 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 />