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173-1bDG <br /> FOR OFFICE USE ONLY PERMIT# G il,ag'6M <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size ( _ q 2 0 Zoning Classification <br /> Garage Size J I 0 Overlay/Agreement <br /> VALUATION 2% -!ibI Nonresidential Use <br /> Number of Stories 2 Residential Use <br /> Occupancy Group g-Ilk Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes_ NoY Fin/Unf Landscape or Planning Inspection <br /> Type of Construction aLlb 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. Date: 8(z4,1/-7 <br /> Existing Fire Alarm Yes_ No_Unk Historic Approv d 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: Date:SASIO School Impact Fee Credit: <br /> Commenntys:{_ Total School Impact.Fee Owed: <br /> `!�U 1 I'J I at 4' w SW 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: A25 v Date: 7-//7 <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 /> 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 /> q ?,-'‘ <br />