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FOR OFFICE USE ONLY PERMIT# t69 "IP 4-1 <br /> BUILDING PLANNING. <br /> Bldg/TI/Addn/Rem Size `� (p9 Z. Zoning Classification —g <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use 1-10L-1 i 'FMV <br /> Occupancy Group &. " Proposed No. of Dwelling Units: <br /> Occupant Load (KJ E\ Total No. of Dwelling Units: <br /> Basement Yes_ No{ Fin/Unf Landscape or Planning Inspection <br /> Type of Construction � %V needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No nk_ Planning Inspector: • <br /> Fire Sprinkler Required Yes No 7 Phone#: <br /> Reason Approved by!% Date: ] 't',t, j <br /> Existing Fire Alarm Yes_ No /Link_ 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_ f Calculated School :-ct Fee: <br /> Approved by: J Date:r .. l Lik- `& School I •=-ct Fee Credit <br /> Comments: - - School Impact Fee Owed: <br /> Cornment$J j... itatt <br /> 5PCAAACtAAA <br /> ( Qt : ,14 9-2- GOA. .fit, <br /> PUBLIC WORKS <br /> FEES . Intake Checked By: T✓ Date: a �u <br /> Plan Check Fee Intake Comments: <br /> Building Permit <br /> Surcharge Qle /V[ vtq <br /> Additional Plan Check PW Permit Application Submitted? Yes S 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 /> I `'•, <br />