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FOR OFFICE USE ONLY PERMITS Ll(p©(0 — .®D <br /> .: .................... B{UU!LDTNG x PLANNING <br /> Bldg/T1/Addn/Rem Size Zo2 Z .,5, Zoning Classification <br /> Garage Size. 127 --C.f Overlay/Agreement <br /> VALUATION ZOO gel Nonresidential Use <br /> Number of Stories Z Residential Use <br /> Occupancy Group g/l Proposed No,of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <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 Unf Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approved b • ate: ('ii( (0 <br /> Existing Fire Alarm Yes No Unf Historic Appro ed by Date: <br /> ,` <br /> Fire Alarm Required Yes_ No_ School Mitiga ion Reqd? Yes No N <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submittal Req'd Yes_ No <br /> Approved by: Date: Co�Z1)6, Calculated School Impact Fee: <br /> Comments: Zc7hS SRC .g Lj/.,EC School Impact Fee Credit: <br /> Total School Impact Fee Owed: . <br /> Comments: <br /> • <br /> c:}i2 -"Kj. <br /> - ::S-•i Ste'. <br /> ,7 7. <br /> :4 <br /> F:= <br /> s_r� <br /> •'it[r� <br /> 'i: �:zYY <br /> ::_':: ''i�`^e i?Wit.' _..�:. s:L: e� _ .,.._` ..,._._?c',•.r?ri�i;v=�.•i;.'=��l�i.ie��i?iks ?:?`._... _..._ . ......_ ..z;c'� <br /> Plan Check Fee ibitEi,7- �� !' Intake Checked By: Date: <br /> Building Permit f g3?- 3,; Intake Comments: <br /> Surcharge -5-0 •' Po ((®&- O <br /> Additional Plan Check PW Permit Application Submitted? Yes No <br /> Plumbing Fee / ill0--CO PW Worksheet Required? Yes No <br /> Mechanical Fee OC,) PW REVIEW: PW Reviewer: Date: <br /> Ping Bldg Review Fee f p ?Li SEE PW WORKSHEET-returned to file <br /> Water Fee ®-09 PW Permit Approved, PW Permit Not Required <br /> Sewer Fee 161-00 <br /> Systems Dev.Fee 2,.96;?-00 NIR13 DIoPAkTMENT' f `'; <br /> Traffic Mitigation Fee 7ee,ce Update/New Sprinklers Yes_ No_ Existing Bldg. <br /> Public Works Fee (/ -c 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 />