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FOR OFFICE USE ONLY PERMIT# 3�"� (�v� ` v �� <br /> = BUILDING �,�u.: PLANNING , <br /> Bidg/TI/Addn/ em Size �� qq S� Zoning Classification �'' <br /> Garage Size — Overlay/Agreement - <br /> VALUATION SC�G �Wt�t P l�f� Nonresidential Use <br /> Number of Stories 1 Residential Use <br /> Occupancy Group Q Proposed No. of Dwelling Units: —�' <br /> Occupant Load �� Total No. of Dwelling Units: ------ <br /> Basement Yes_ Nox Fin/Unf Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes No '1�' <br /> Existing Sprinkler System? Yes Nox Unk Pianning Inspector: �^^�--s <br /> Fire Sprinkler Required Yes No X Phone#: �-"-' <br /> Reason tXiSt/�1G pIO�YCtlN��1�- ir Approved b . Date: <br /> Existing Fire Alarm Yes No�Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No k School Mitigation Reqd? Yes_ ,No_ <br /> Reason �X�S1i�V jJplJ� �ON�'01�- N�r- Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submittal Req'd Yes No Calculated School Impact Fee: <br /> Approved by: �b tk Date:l'k14i• V School Impact Fee Credit: <br /> Comments Total School Impact Fee Owed: <br /> �t)Si�D N�A'XIMVIh OLt-UPA�Z Comments: <br /> C.Op�� of q-�1 .�Wti- cl�tt,� v SE <br /> Peti 4�i�.ou�� �o�f,�-tA�. <br /> G k� �c ,r�wkk M� <br /> � '�� PUBLIC WORKS . `�� <br /> `fEES ' Intake Checked By: Date: <br /> Plan Check Fee Intake Comments: <br /> Building Permit <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: 1 "1 <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 Miti ation Fee Update/New Chemical Yes No_ Existing Bldg._ <br /> Update/New Fire Service Yes No Existing Bldg._ <br /> Approved b : Date: <br /> Comments: <br /> 6��.. <br /> �= -� <br /> � � <br /> t�+ <br />