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guiLP/AJG Ty f Ifl m- ig PERMIT# C/609'`©21 <br /> FOR OFFICE USE ONLY <br /> • •• EUILDIN - <br /> •• <br /> r. PLANNING <br /> 1IAddn/Rem Size 1�p F F Zoning Classification <br /> Garage Size .JOG S,r Overlay/Agreement <br /> VALUATION I .67 CI Nonresidential Use <br /> Number of Stories 3 Residential Use <br /> Occupancy Group 12�(/L Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units:I . <br /> Basement Yes No Fin/Unf Landscape or Planning Inspection <br /> Type of Construction 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 Date: (0,((i(� <br /> Existing Fire Alarm Yes No Unk Historic Approv:d by: Date: <br /> Fire Alarm Required Yes No I 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: Date:Oho Calculated School Impact Fee: <br /> Comments: 20 i Z I iZc__ 4 Wg-0-e School Impact Fee Credit: <br /> I Total School Impact Fee Owed: <br /> i Comments: <br /> I 1 <br /> • FEES PUBLIC WORKS <br /> Plan Check Fee Intake Checked By: Date: ?'J/'Z <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 Y 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 ExistingBldg. <br /> — — <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 /> 7,-- <br />