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FOR OFFICE USE ONLY PERMIT# t/1'(Q I' ' OD 3 <br /> B,414PiN ...u.__ ...- --_,..._ r <br /> : PLANNING <br /> Bld /T' dd em Size IS p _ Zoning Classification „' 1--- <br /> G a rage <br /> Garage Size eer Overlay/Agreement —AA <br /> VALUATION SI c/A g Nonresidential Use x)/A <br /> Number of Stories Residential Use <br /> Occupancy Group i2-. Proposed No,of Dwelling Units: <br /> Occupant Load I Total No.of Dwelling Units: ©`(VQ . <br /> Basement Yes_ NoXFin/Unf Landscape or Planning Inspection \� <br /> Type of Construction V13 needed before final? Yes_ No 7l <br /> Existing Sprinkler System? Yes No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes— No Phone#: <br /> C \'.ICI j0 r <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Yes,_. No_Unk Historic Approved by: -K) I A- Date: <br /> Fire Alarm Required Yes— No_ School Mitigation Reqd? Yes No X <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:///e/` School Impact Fee Credit: <br /> Comments: z.,Dig– /,c / Wf`sc Total School Impact Fee Ow : - <br /> T Comments: - <br /> 3,5- gAigie4v C,o/ .1 oe--6Q1D <br /> • <br /> 7 tg **11 O`u <br /> gik .°GEES,' .Ttg r iafik... F .. Intake Checked By: f 17 Date: 4'r/,&' <br /> Plan Check Fee Intake Comments: <br /> Building Permit 1,1 <br /> leg <br /> Surcharge <br /> -._____._._. ____.____.__�__........._. _.--. _-- -.-.----._.__._._...___-- •- ----- PW-Permit APP_ lication Submitted?_..Yes--- ---.---- o--- - -. <br /> Additional Plan Check <br /> Plumbing Fee PW Worksheet Required? - Yes . No <br /> Mechanical Fee PW REVIEW: PW Reviewer: Date: <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 BEINEWciliV.KOMPA0140007.MiASZATA <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 />