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0 [ o0 o PERMIT# <br /> fly) - (ba3�00 - <br /> FOR OFFICE USE ONLY <br /> -:;:;.•:-.''..-:i''.'.....::',' <br /> .. . _ .3: "2.41.4.0)1-00.1-,:- _ ,‘1 : :.. ,.. ..PLANl INC', . st• a I'Ir <br /> BIdg/TI/AddnlRem Size A e , 9 ow 65-c.- g Classification . <br /> Garage Size Overlay/Agreement ! <br /> VALUATION �i `� Nonresidential Use - • <br /> No.of Stories 2, Residential Use <br /> Occupancy Group < 0 Proposed No.of Dwelling Units: <br /> Occupant Load ¶ (3 °j- Total No.of Dwelling Units: <br /> Basement Yes No n/Unf Landscape or Planning Inspection <br /> Type of Construction t -- 8 needed before final? Yes_ No_ <br /> Exstg Sprinkler System? Yes No LI Unlc Planning Inspector: <br /> Fire Sprink Reqd? Yes No ✓ ' Phone#: <br /> / p'1/ zjIJb Reason Approve+ , / Date: <br /> Exstg Fire Alarm? Yes No_Una.% Historic Ap+ owed by. Date: <br /> Fire Alarm R qd? Yes_ No tr School Mitigation Reqd? Yes No <br /> ' Reason • Everett School Dist Mukilteo School Dist <br /> Enciosure 64.55) Yes_ No #of Net New Units: <br /> Approved b . Date: t" -- c- I c. Calculated School Impact Fee: <br /> Comments: - School Impact Fee Credit <br /> Total School Impact Fee Owed: <br /> Comments: - <br /> • <br /> `PTEs: -. :>-. . - • 7 - "PUBLIC-.ioRKS. . ' ' . <br /> PIan Check Fee (0 _q`T PW Permit Required? Yes No <br /> Building Permit . —7 13.7a Intake Checked By: Date: <br /> Surcharge t f-1 C) Comments: ' <br /> Additional Plan Check / <br /> Plumbing Fee '^ P liv (j/(d 3-0& <br /> Mechanical Fee <br /> Ping Bldg Review Fee _ '`1[•' j <br /> Water Fee (Fees:Yes/No,Explanation,Permit#'s,Amount) <br /> • <br /> Sewer Fee -7D-OD Water Fee? Sewer Fee? <br /> Systems Dev. Fee <br /> Traffic Mitigation Fee ! <br /> Public Works Fee 5 -30 System Dev.Fee? Traffic Mitigation Fee? <br /> School Mitigation Fee - <br /> • <br /> r <br /> 9 <br />