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&Ln6 -TV i VN►7 C FOR OFFICE USE ONLY PERMIT# 16(1 -03/ <br /> - BUILDING- PLANNING <br /> Bldg/TI/Addn/Rem Size I CA b(2 Sg Zoning Classification <br /> Garage Size '1.6-7 .< Overlay/Agreement <br /> VALUATION 2'f7 4170 Nonresidential Use <br /> Number of Stories . Residential Use <br /> Occupancy Group gAl Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes No,4 Fin/Unf Landscape or Planning Inspection <br /> Type of Construction ',F 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� •ate: /� (t / ( <br /> Existing Fire Alarm Yes`- No UnkHistoric Approv:• by: Date: ( <br /> Fire Alarm Required Yes_ No School Mitigati• Regd. 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: „..--YL Date:9.15 /62 Calculated School Impact Fee: <br /> Comments: 2712, //G F. Gv5 C- School Impact Fee Credit _ <br /> Total School Impact Fee Owed: <br /> Comments: <br /> FEES PUBLIC WORKS. • <br /> Plan Check Fee - Intake Checked By: � Date: t/)'— <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 FeeSEE PW WORKSHEET-retumed to file <br /> Water Fee V 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 />