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FOR OFFICE USE ONLY PERMIT# C,1100 6- Z <br /> . .,BUILDING ,...,T. . <br /> Bldg/TI/Addn/Rem Size (777 -5.' , Zoning Classification <br /> Garage Size 4210 S'A Overlay/Agreement <br /> VALUATION VL2.,82/ Nonresidential Use <br /> Number of Stories 2- Residential Use <br /> Occupancy Group gild( Proposed No,of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes_ No 3 Fin/Unf Landscape or Planning Inspection <br /> Type of Construction .Y- needed before final? Yes_ No_ <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Ins•7, tor: <br /> Fire Sprinkler Required Yes_ No_ Phone •Gi[1 <br /> Reason Approved . ate: i77.4 <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Appro ed by- Date: <br /> Fire Alarm Required Yes_ No School Mitigation Regd?)NoC. <br /> Reason Everett School Dist C Mukilteo School Dist <br /> Enclosure Law Applies Yes_ #of Net New Units: <br /> Deferred Submittal Req'd Yes_ No_ <br /> Approved by: Date:,AZ...7//62 Calculated School Impact Fee: <br /> Comments: zots– /a 6 tz)S� School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> FEEB PUBLIC WORKS <br /> Plan Check Fee 0/1-5 i L 400-(04/ Intake Checked By: Date: <br /> Building Permit /(P D ,5-. Intake Comments: <br /> Surcharge q's-o set pw f(006d b 26 <br /> Additional Plan Check ' PW Permit Application Submitted? Yes No <br /> Plumbing Fee I 40-O0 PW Worksheet Required? Yes No <br /> Mechanical Fee 10420 PW REVIEW: PW Reviewer: Date: <br /> Ping Bldg Review Fee I (# Ua SEE PW WORKSHEET-returned to file <br /> Water Fee ,ero PW Permit Approved, PW Permit Not Required <br /> Sewer Fee 70,00 <br /> Systems Dev- Fee 71 CO 1_. ......FIE.DEPARTMENT..:; <br /> Traffic Mitigation Fee 760'00 Update/New Sprinklers Yes_ No_ Existing Bldg._ <br /> Public Works Fee &S-e0 Update/New Detection Yes_ No_ Existing Bldg. <br /> • School Mitigation Fee -er- Update/New Chemical Yes_ No_ Existing Bldg._ <br /> Update!New Fire Service Yes— No_ Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br /> 417,--.) <br />