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86tz 7rp6 e Uric 7 <br /> FOR OFFICE USE ONLY PERMIT# C (loo LH (3 <br /> r ; ¢E BUILD IV � §� PLAN ING , <br /> Bldg/TI/Addn/Rem Size /3 44 -C Zoning Classification <br /> Garage Size 3 22. s, Overlay/Agreement <br /> VALUATION `61 2/i Nonresidential Use <br /> Number of Stories 3 Residential Use • <br /> Occupancy Group /% Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes No IZFin/Unf Landscape or Planning Inspection <br /> Type of Construction j$ needed before final? Yes No <br /> Existing Sprinkler System? Yes No_Unk Planning Inspector 3,km c J)vt $ - <br /> Fire Sprinkler Required Yes— No Phone#: L/ Lc- <br /> Reason <br /> -Reason Approved : (2e(r7 <br /> Existing Fire Alarm YesNo_Unk Historic Appro ed by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No_ <br /> Reason 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: St Date:Z/201 School Impact Fee Credit: <br /> Z l� <br /> Comments: ZotC '�� / Total School Impact Fee Owed: <br /> Comments: <br /> • <br /> _ *101.03, r i s ss x sNg }T.. 'ski. F ..J ;.. _.s <br /> i;'. e;.Twa' r%c!�-'v '%:a<l�.A:ys r?. .t.�yj '�..r5 __•:1;x1;.t✓'„'pie': <br /> �s.. �w'i+8^ -`i4'K,jr•.'.,3?nitL?2.<:�+��:.r::;: .;;,;�; ;, .:. �., Intake Checked By: Date: <br /> Plan Check Fee Intake Comments: <br /> Building Permit <br /> Surcharge <br /> Additional Plan Check- __._.P17U Permit Apticatiori Submitted?-Yes------No------- <br /> Plumbing <br /> Yes- --- o - _- <br /> Plumbing Fee PW Worksheet Required? ' Yes No <br /> Mechanical Fee PW REVIEW:.PW Reviewer: W! Date: l`-20)1'' <br /> Ping Bldg Review Fee /EE PW WORKSHEET-returned to file <br /> Water Fee W Permit Approved, PW Permit Not Required <br /> Sewer Fee <br /> k FIR DEPAR MEN.T._ :...,_. x,.. <br /> Systems Dev. Fee ' ... . .::��_ .'. .�.�,� x__..;, .- ... .-. Y__. ..... ...... <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 Fire Service Yes— No_ Existing Bldg. <br /> Approved by: Date: <br /> Comments: <br />