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FOR OFFICE USE ONLY 4ERMIT# C.) 171 (51--oo <br /> BUILDING n PLANNING <br /> Bldglfl/Addn/Rem Size v�2[.p Zoning Classification <br /> Garage Size 411 L Overlay/Agreement <br /> VALUATION '921 1 1 3j' Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group g,1 IA. Proposed No.of Dwelling Units: <br /> Occupant Load ' .; Total No.of Dwelling Units: <br /> Basement Yes_ No Fin/Unf Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No._ Phone#: <br /> Reason Approved Date: (ii(/`7 <br /> Existing Fire Alarm Yes No_Unk Historic App 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: Date:7//¢ //7 School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> 2b(5 ,0 <br /> Comments: <br /> PUBLIC WORKS . <br /> FEES Intake Checked By: Date: <br /> Plan Check Fee Intake Comments: <br /> Building Permit W (10g /b() <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: /�,B Date: 8- 9-17 <br /> Ping Bldg Review Fee SEE PW WORKSHEET-returned to file <br /> Water Fee X 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 />