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FOR OFFICE USE ONLY PERMIT# ��b�� ���4 <br /> BUILDING PLANNING <br /> Bldg/TI/Add /Rem Size S� gC S S'F Zoning Classification `� � �� <br /> Garage Size T " Overlay/Agreement <br /> VALUATION SC'�C �.�+'t Q�sc�e Nonresidential Use � � � <br /> Number of Stories 1 Residential Use �� <br /> Occupancy Group � Proposed No. of Dwelling Units: <br /> Occupant Load l�� Total No. of Dwelling Units: <br /> Basement Yes No Z4 Fin/Unf Landscape or Planning Inspection <br /> Type of Construction U(� needed before final? Yes No •,.� <br /> Existing Sprinkler System? Yes No �' Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason (�i�( 7 � I�(l1N (OI��U�- �(,r Approved b�:_ �! Date: "'�- <br /> Existing Fire Alarm Yes 4� No Unk Historic Approved by: Date: ----�-- <br /> Fire Alarm Required Yes� No School Mitigation Reqd? Yes No <br /> Reason P�(L Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submittal Req'd Yes No Calculated School I ee: <br /> Approved by: b Q�l.� Date: 1..•Z , (p School I Fee Credit: <br /> Comments: Tot School Impact Fee Owed: <br /> Comments�-��,�,,L,�•,l `�� 6w�_ i:L�..�.- <br /> ����` �- �a���'�(�,'�) �'1wl.�LU.� !�1,1:U'lr"�'� �!c�-1, ' l. <br /> '�� ,�li�'�;�.��V��:r- (�1 , '' `L <br /> Ol� �� ;n�a� MN �� <br /> PUBLIC WOR S <br /> FEES Intake Checked By:. .' Date: ;'�' ; <br /> Plan Check Fee Intake Comments:��"�� � <br /> Building Permit �OT ���`^r� '�:� . � ����, <br /> Surcharge .�� � ,�e1M �:�wv� �/C�J ���� �l.`'►��'H ' ����� <br /> Additional Plan Check PW Permit Application Submitted? Yes No :�v <br /> Plumbing Fee PW Worksheet Required? Yes No�_ <br /> � <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 Fir Service Yes No Existing Bldg._ <br /> Approved by: z � " Date: Z'L7�I(� <br /> Comments: ���,�� ��f.�,c�,C;,-1 �,�'�L1 uiVeS; <br /> !.r�c.; � c_��I �w�, �v^t c�- � <br /> � <br />