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um 0 bl <br /> 1:16 <br /> FOR OFFICE USE ONLY I ERMIT# 0-In a' o <br /> BUILDINGPLANNING <br /> Bldg/TI/Addn/Rem Size (111 0 _ Zoning Classification • <br /> Garage Size 26 li Overlay/Agreement <br /> VALUATION '7)212/! tZ\ Nonresidential Use <br /> Number of Stories 2- Residential Use <br /> Occupancy Group it I ii, 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 needed before final? Yes_ No— <br /> Existing Sprinkler System? Yes_ No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No._ Phone#: <br /> Reason Approved sby:\MI n\I 1611,/ ate:I 1 1 1 1,it.r/7 <br /> Existing Fire Alarm Yes_ No—Unk Historic Approved 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: c:71/1- Date:7/16/17 School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> W 15 1 r.0 4 W6 6 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: Q Date: 7 z0-/ 7' <br /> Ping Bldg Review Fee SEE PW WORKSHEET-returned to file <br /> Water Fee Ne 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 /> CLV---)) <br />