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5bl� FOR OFFICE USE ONLY PERMIT# C 11 o ()VI., <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 2f616 Zoning Classification <br /> Garage Size !bi t Overlay/Agreement <br /> VALUATION .j )2)I 10 0 Nonresidential Use <br /> Number of Stories 2- Residential Use <br /> Occupancy Group 21 IA) 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 Inh needed before final? Yes_ No_ <br /> Existing Sprinkler System? Yes_ No—Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No._ Phone#: / <br /> Reason Approved b ate: 137-ZR/ 0 <br /> Existing Fire Alarm Yes No_Unk Historic Approv d by: Date: 1 111 <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:8/ZS/A- School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> U15 i 12G 4 C C) 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: AiQ Date: 9 ..1Q/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 /> l Comments: <br /> (/' '''\1 <br /> x <br />