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&06 -"Yry 1= t°N►7 6 FOR OFFICE USE ONLY PERMIT# C/00 if�t 1t3 <br /> - BUILDING I LANNING <br /> Bldg/TI/Addn/Rem Size I 1 w0 Sg Zoning Classification <br /> Garage Size 4S I �f Overlay/Agreement <br /> VALUATION 201 170 Nonresidential Use <br /> Number of Stories 3 Residential Use <br /> Occupancy Group g/(,( 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 t iE 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 . : 6, 7/L, (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_ <br /> Approved by: Date:71(6(Ii 1 Calculated School Impact Fee: <br /> Comments: 2i2_ /eGft. fN.MG School Impact Fee Credit: " <br /> Total School Impact Fee Owed: <br /> Comments: <br /> FEES PUBLIC WORKS • •. <br /> Plan Check Fee - Intake Checked By: Date: <br /> Building Permit Intake Comments: <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: kf3 Date: 8--/ -17 - <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 />