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FOR OFFICE USE ONLY PERMIT# 04D R'D <br /> BUILDING PLANNING;; <br /> Bldg/TI/Addn/Rem Size ir 0 2.) 69 Z_ Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use t ' A`I71j <br /> Occupancy Group &. " Proposed No. of Dwelling Units: <br /> Occupant Load d j P\ Total No.of Dwelling Units: <br /> Basement Yes - No v/Fin/Unf Landscape or Planning Inspection <br /> Type of ConstructionY needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No '' // nk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approved b . Date: ' /l <br /> 14110 <br /> Existing Fire Alarm Yes_ No Jnk 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 )4 #of Net New Units: <br /> Deferred Submittal R ' Yes_ No Calculated School :-ct Fee: <br /> Approved by: Date:/ f- l -- /C School I ct Fee Credit <br /> Comments: School Impact Fee Owed: <br /> Comments x • t�.�. tidat <br /> c <br /> tAkA <br /> pipes: ; 6:tok <br /> PUBLIC WORKS <br /> FEES Intake Checked By: 76 Date: 1 O - {tilt <br /> Plan Check Fee Intake Comments: <br /> Building Permit ,/l16 <br /> �I, � v6 <br /> Surcharge n"C1, °K, <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 />