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FOR OFFICE USE ONLY PERMIT# `0119\2—' (');' <br /> BUILDING <br /> t PLANNING <br /> Bldg Itdd em S' U Zoning Classification r V o <br /> Garage Size `" Overlay/Agreement 1-A0 (� <br /> VALUATION S'Ct 40.M.1 Nonresidential Use 9•p at. <br /> Number of Stories 1 Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: --------- <br /> Occupant <br /> -----_Occupant Load 3 Total No.of Dwelling Units: <br /> Basement No )0 Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V 6 needed before final? Yes_ NoX <br /> Existing Sprinkler System? Yes_ No 10 Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No 1G Phone#: <br /> Reason (iX151 ti'l L) ) SE Approved by: 4,4C-1 <br /> U Date: \ - 11- I -1 <br /> Existing Fire Alarm Yes— No 10 Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No /C. School Mitigation Reqd? Yes No x <br /> Reason G XIS i t P6 U 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: 1'( ( (ei Date: 1/I'./1.7 School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> Comments: (e.,,,c,rM.ea s1ac otcw-) ,eei TroS-I'Z- <br /> Intake OK by: x" <br /> Intake OK by: $W1 b11.161 1 VI�TNKaC) <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: /5,5 Date: I2 -� <br /> Plan Check Fee Comments: , <br /> Building Permit 0 7•4• <br /> Surcharge High Hazard Sites(Dental,Medical,Animals,Mortuary,etc-R or RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPB NOT R •UIR <br /> Plumbing Fee 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: 210 I run <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee ❑ Se- - -et <br /> Systems Dev.Fee PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes_ No_ Existing Bldg. <br /> Update/New Detection Yes No_ Existing Bldg. <br /> Update/New Chemical Yes_ No Existing Bldg. <br /> Update/New Fire Service Yes_ No_ Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br />