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‘ 01,1`' FOR OFFICE USE ONLY PERMIT# C)I (.00q'61 1 <br /> Bldg/T1/Addn/Rem Size 1720 q Zoning Classification <br /> Garage Size `-I 1 4 Overlay/Agreement <br /> VALUATION fb h21 t 1192 Nonresidential Use <br /> Number of Stories l2 Residential Use <br /> V <br /> Occupancy Group -‘ 4 Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: , <br /> Basement Yes_ No I Fin/Unk Landscape or Planning Inspection <br /> Type of Construction Of needed before final? Yes No_ <br /> Existing Sprinkler System? Yes— No_Link_ Planning Inspector: <br /> Fire Sprinkler Required Yes— No_ Phone#: ir <br /> A rov_: . : Bate-. /h <br /> Reason pp 6/ <br /> Existing Fire Alarm Yes— No Unk Historic Ap• oved/ 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: School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> 2D 15 1 i 16 66 Comments: . <br /> • <br /> a. <br /> EP B. Gly► - .. .,m`. .., ._. <br /> renuaggAgemeggainEwpp Intake Checked By: Date: <br /> l�a Check Fee Intake Comments: <br /> \Buj)ding Permit <br /> ` urcharge <br /> Additional Plan Check — _.— —_- _ — PIN PermftAplicatiort Submitted? Yes___-..---No---------- <br /> V.-Plur, <br /> -- o — <br /> Plum ing Fee PW Worksheet Required? Yes No <br /> echanical Fee PW EVIEW: PW Reviewer: 6 Date:61 ,10 14 (p <br /> �,�Ing Bldg Review Fee `/ E PW WORKSHEET-returned to file <br /> Water Fee - PW Permit Approved, PW Permit Not Required <br /> 4ewer Fee ' <br /> „Fs/stems Dev. Fee .,_...L __ _`...= _ ktrij Mitti ENT _.....,_.i ; :.. _:E..._.- <br /> affic Mitigation Fee Update/New Sprinklers Yes No— Existing Bldg._ <br /> lic Works Fee Update/New Detection Yes No— Existing Bldg._ <br /> School Mitigation Fee a rev W Update/New Chemical Yes No_ Existing Bldg._ <br /> Update/New Fire Service Yes No Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br />