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r / _ U / a FOR OFFICE USE ONLYPERMIT ft G 1490,3--64_() <br /> -- BUILDING _ i =LA11NI�INC <br /> s • I/Addn/Rem Size /969 S'/ Zoning Classification <br /> Garage Size /5/ , Overlay/Agreement <br /> VALUATION 217 T'70 Nonresidential Use <br /> Number of Stories 3 Residential Use <br /> Occupancy Group kAt Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units:1 <br /> Basement Yes_ No A Fin/Unf Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes)'. No <br /> Existing Sprinkler System? Yes— No Unk Planning Inspector: Jo L . � 1 Kur,, <br /> Fire Sprinkler Required Yes_ No 'Phone#: Z S-7 0 3 7 <br /> Reason Approved by:t ,41 rate: 3 611-7 <br /> Existing Fire Alarm Yes No—Unk Historic Approve t 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 R q'd Yes— No <br /> Approved by: Dater,4//7 Calculated School Impact Fee: <br /> Comments: 2D/z. //ZG 7` .A,9S,ee School Impact Fee Credit: <br /> Tofal School Impact Fee Owed: <br /> Comments: <br /> - — -- — <br /> I I <br /> I <br /> • <br /> FEES PUBLIC WORKS . <br /> Plan Check Fee - Intake Checked By: Date: <br /> Building Permit Intake Comments: <br /> Surcharge • <br /> Additional Plan Check ' PW Permit Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet Required? Yes No <br /> • <br /> Mechanical Fee PW REVIEW: PW Reviewer:,, j Date: . <br /> Ping Bldg Review Fee SEE PW WORKSHEET returned to file <br /> Water Fee k 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 />