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FOR OFFICE USE ONLY PERMIT# ,110 t 0-OO <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 4 . 34 �,g Zoning Classification RS <br /> Garage Size /2.Z-4> S,i Overlay/Agreement <br /> VALUATION 6/ 0/7 Nonresidential Use <br /> Number of Stories Residential Use I Qel-041.4A SF Z_ <br /> Occupancy Group RAI Proposed No.of Dwelling Units: i <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction ,1 needed before final? Yes_ No Z <br /> Existing Sprinkler System? Yes No Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: ii,, ' <br /> Reason Approved by: ).1�e.ia Date: it-7i r I(42 <br /> Existing Fire Alarm Yes No_Unk_ Historic Approved by: ------1:75W— <br /> Fire <br /> a e:Fire Alarm Required Yes_ No School Mitigation Reqd? Yes)c No <br /> Reason Everett School Dist Mukilteo School Dist x <br /> Enclosure Law Applies Yes_ #of Net New Units: l <br /> Deferred Submittal Req'd Yes_ No_ Calculated School Impact Fee: - '2. 91t4 <br /> 1t <br /> Approved by: tel' Date:///J/// School Impact Fee Credit: 1 L <br /> Comments: Total School Impact Fee Owed: <br /> Comments: InI coN c. .— izeq,„- i maim- <br /> soave„ o> <br /> Intake OK by <br /> Intake OK by:_7 <br /> PUBLIC WORKS ' <br /> FEES INTAKE: Checked By,9t Date: <br /> Plan Check Fee 'MVO' t. Intake Comments: 1040 P d-4- i <br /> cot E 'dam <br /> :: :mit <br /> ng jj7 TO -ISS Mg P ->n4-—JoE smehy 76 Camp* . rn eh/Awe <br /> St <br /> Additional Plan Check dt1 ❑ �YPublic Works/Sys Dev/Traffic Mitigation-NOT REQUIRED <br /> Plumbing Fee ' 6,0.00 egRoute for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ISO-OV 0 Public Works Permit-Concurrent Review(separateisreen folder) <br /> Ping Bldg Review Fee '�j')g.07} PW REVIEW: PW Reviewer: .1-e.4- Date: Ii-1 2OII6 <br /> Water Fee ,(ii g ui(o07- olg RPWPermitApproved-PW } iI}'-©2.7 <br /> Sewer Fee ke,OV({A i U((p a --‘.i4 <br /> tit See PW Review Worksheet L pf/LMilt'in tidy�9/E gyp'/44 <br /> Systems Dev. Fee �1 Li <br /> =i � 0 PW Permit Not Required <br /> raffic Mitigatioort el,�ysii , l 2C 0-06 <br /> Public Works Fee FIRE DEPARTMENT` <br /> School Mitigation Fee <br /> �,fµpd, ( Update/New Sprinklers Yes No L� Existing Bldg._ <br /> Update/New Detection Yes_ No )( Existing Bldg.t� �,(,V �� NLdi.6 /�� j Update/New Chemical Yes_ No Existing Bldg. <br /> _vt> (r0/)&#01 f- %Q`tl- S be-4 Update/New Fire Service Yes_ No 2( Existing Bldg. <br /> -4 . Tom''714, „/1Po'ay.T� , --99ft Approved by: J\1`(\ V v Date: <br /> /" Comments: e S� 1 J� Q,r <br />