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g01LP/DCA T'yfe f ()kit? ig p�/'I�� <br /> FOR OFFICE USE ONl PERMIT# !(ot?4+- 2.J <br /> BUILDING I ''LANNlNG • <br /> Igo I/Addn/Rem Size I I(p F F Zoning Classification <br /> Garage Size SOO - , Overlay/Agreement g <br /> VALUATION I S-jh g'] Nonresidential Use <br /> Number of Stories 3 Residential Use <br /> Occupancy Group R/t4 Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units:I <br /> Basement Yes_ No.X Fin/Unf Landscape or Planning Inspection <br /> Type of Construction erS needed before final? Yes No <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes— No_ Phone#: <br /> Reason �` <br /> Approved i ', i t`� l Date: ? , <br /> Existing Fire Alarm Yes— No—Unk Historic Appro ed by: Date: <br /> Fire Alarm Required Yes No— i School Mitigation Reqd? Yes No_ <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes— #of Net New Units: <br /> Deferred Submittal Req'd Yes No <br /> Approved by: C/lC Date:9/5//( Calculated School Impact Fee: <br /> Comments: 20122 /izc_ it, WS--e School Impact Fee Credit: • <br /> I <br /> Total School Impact Fee Owed: <br /> Comments: <br /> I j I <br /> FEES PUBLIC WORKS• <br /> Plan Check Fee - Intake Checked By:_ Date:____111 __ <br /> Building Permit Intake Comments: <br /> Surcharge <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 />