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FOR OFFICE USE ONLY PERMIT# EL) (( © ( P-00( <br /> �i:- <br /> - �+ - - - Ipp�A��r 'ate-: <br /> •e: ^'.?:_" -lex: •`I 4i' 610 <br /> FIJI - <br /> :R' <br /> Bldg/TI/Addn rr Size 0` .$'h Zoning Classification <br /> Garage Size /.4 Overlay/Agreement --- <br /> VALUATION /2, 72 Nonresidential Use }_��' <br /> Number of Stories / Residential Use ,�,,/ ` IK <br /> Occupancy Group a. Proposed No.of Dwe/lling Units: <br /> Occupant Load Total No.of DwelIirfg Units: <br /> Basement Yes_ No k Fin/Unf Landscape o fanning Inspection <br /> Type of Construction needed b ore final? Yes No <br /> Existing Sprinkler System? Yes— No Unk Planni Inspector: <br /> Fire Sprinkler Required Yes— No_ Phon #: <br /> I <br /> Reason Approved by: , 1 Date: V / p <br /> Existing Fire Alarm Yes_ No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes_ No_ __------- <br /> Reason Everett School Dist Mukilteoist <br /> Enclosure Law Applies Yes— #of Net New Units: ,------ <br /> Deferred Submittal Req'd Yes— No_ Calculated School l pac(ee: - <br /> Approved by: Date:Q/ZO//a School Impact. erCredit: <br /> Comments: Z015 Me- Total Scho 'Impact Fee Owed: <br /> Com nts: <br /> • <br /> _ -:�'.fi-�.4-�::,�.:- -_=�i�:. - _ _�tom;_- _- - -- -- - <br /> .. --.........�._.i;s-ter.: ..-:_y.:n.::-+ - <'••':-• - __ _ Lt:�e: <br /> grGrx.::3.v - - :r,'c`=vs> ._r;:iG:i._ "u>'.c:..,.. Y.�' <br /> :r•,, �f ;: .- - `3- 7 e Checked B Date: <br /> 4-nu .k..3'r C_�rti'�_ _ _ i'L."v -~�.�T;-. r��='_ _ r <br /> :.�.-..:�.-:t}��Yr�:iz...,-7... n<��-�.'�._�..:f ah:::-_.-Y...-.in.w._._..--....-_.:.za--._ l <br /> Plan Check Fee Intake Comments: <br /> Building Permit <br /> Surcharge <br /> -----— <br /> Additional Plan Check -------------------•- ---_PIN"PermifAp`piicatiom-Submitted?`Yes---"---No------" <br /> Plumbing Fee PW Worksheet Required? ' Yes No <br /> Mechanical Fee PW REVIEW: PW Reviewer: Date: <br /> Ping Bldg Review FeeSEE PW WORKSHEET returd to file <br /> Water Fee - PW Permit Approved, V PW Permit Not Required <br /> Sewer Fee - <br /> __�<a��c�,a,;,sa:�,-,,,, __ �;:�;.� •-��.r, - -' fix:.'-='>^szw�� ;-:,�F�. <br /> Systems Dev. Fee ,_�°�:=.....,-.�x.:�..:.. �=- ..: _.u.,_.. :_ ..._.z... _. ;_:,�:-...:-... _,. <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 /> E <br />