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Gl�la 19'p Ui//7 �U FOR OFFICE USE ONLY PERMIT# Ci(a94-4090 <br /> '. �...e xv s: PLA INN ` ,n <br /> :: ' ...n <br /> Bldg/TI/Addn/Rem Size ai/z/ Zoning Classification <br /> Garage Size 322- 5,/ Overlay/Agreement <br /> VALUATION /bt Zf Z Nonresidential Use <br /> Number of Stories 3 Residential Use <br /> Occupancy Group � � 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 j. J needed before final? Yes No_ <br /> Existing Sprinkler System? Yes No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason Approved by: : a 7'7.4. �0`7 <br /> Existing Fire Alarm Yes No Unk Historic Appro ed 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: de Date: School Impact Fee Credit: <br /> Comments: Z012.. / c tar6c Total School Impact Fee Owed: <br /> Comments: <br /> • <br /> taftaC ilfiaR.CS. ! 2 J .7. k dS A r t3 't C Y <br /> rg, aaat x k Intake Checked By: Date: <br /> ;rt:s�y... j.4`�....x�.... y'.' {�...�.,._-.��fi„` 7. ��.rr'.-��.:v'3.�,s...� <br /> Plan Check Fee Intake Comments: <br /> Building Permit <br /> Surcharge <br /> Additional Pian Check PW PermitApplication"Submitted?-Yes---..__.--Na----- <br /> Plumbing Fee PW Worksheet Required? ' Yes No <br /> Mechanical Fee PW REVIEW: PW Reviewer: Date: <br /> Ping Bldg Review Fee SEE PW WORKSHEET-returned to file <br /> Water Fee PW Permit Approved, PW Permit Not Required <br /> Sewer Fee <br /> F 133E.testi fftkt r <br /> Systems Dev. Fee :::�t -..,�`.t .�__ ....,_. .. .. 4_. ._. <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 />