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FOR OFFICE USE ONLY PERMIT# C fl 0(e -0(A <br /> BUILDING n PLANNING <br /> Bldg/TI/Addn/Rem Size b 57-o d Zoning Classification <br /> Garage Size 1--/q c Overlay/Agreement <br /> VALUATION � - Nonresidential Use <br /> Number of Stories '2- Residential Use <br /> Occupancy Group t,f 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 116 needed before final? Yes_ No_ <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No._ Phone#: <br /> Reason Approved .y: ,414 Date: �j ( <br /> Existing Fire Alarm Yes No Unk Historic Appr.i.-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: iffDate:0'0 School Impact Fee Credit: <br /> Comments: " Total School Impact Fee Owed: <br /> 0.016' Ike) + VJ S W 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:114n Date: 7 20-/7 <br /> Ping Bldg Review Fee SEE PW WORKSHEET-returned to file <br /> Water Fee X 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 />