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2(0 5— FOR OFFICE USE ONLY PERMIT# 61.10(001 (a <br /> BUILDING PLANNING <br /> BldgITI/Addn/Rem Size � fa) Zoning Classification <br /> Garage Size 47)1 0 Overlay/Agreement <br /> VALUATION 25 LAI Nonresidential Use <br /> Number of Stories 2. Residential Use <br /> Occupancy Group t(1 l,, Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes_ No X Fin/Unf Landscape or Planning Inspection <br /> Type of Construction 143 needed before final? Yes_ No_ <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No._ Phone#: <br /> ReasonApprov:4 mss-Bate: /4/t1 <br /> Existing Fire Alarm Yes No_Unk_ Historic Apprr ved 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: 471 Date:/2 /1 z.. School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> 2U15 1 G 4-1106 Comments: <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: f3 Date: b Z? / 7 <br /> Ping Bldg Review Fee SEE PW WORKSHEET-returned to file <br /> Water Fee f( 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 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 /> /v <br />