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FOR OFFICE USE ONLY PERMIT# 61 f -bo`) <br /> BUILDING _ PLANNING <br /> Bldg/TI/Addn/Rem Size / a _`QQ S Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 1 D 3 )1-\ 7.- Nonresidential Use <br /> Number of Stories I- Residential Use <br /> Occupancy Group . ` Proposed No. of Dwelling Units: <br /> Occupant Load 2. Total No. of Dwelling Units: <br /> Basement Yes No/ Fin/Unf Landscape or Planning Inspection <br /> Type of Construction 1 ( ` Z needed before final? Yes_ No— <br /> Existing Sprinkler System? Yes v No Unk' Planning Inspector: <br /> Fire Sprinkler Required Yes l/ No_ Phone#: <br /> Reason r-I Approved by: Date: <br /> Existing Fire Alarm Yes ✓ No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes No <br /> Reason Cti( Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submitt iReq'd Yes No_ <br /> Approved by: F` V,, Date: 61-6._ u I Calculated School Impact Fee: <br /> Comments: School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> In 10( 0\16 0-tbia - '-' --\11 <br /> g1LII (f <br /> 1 1 <br /> FEES ': i,PUBLIC WORKS <br /> Intake Checked B �.,4- Date: 9_/y-'mgPlan Check Fee y� <br /> Building Permit Intake Comments:��YY <br /> Surcharge No r� 0-611 ,6 <br /> Additional Plan Check PW Permit Application Submitted? Yes No ,c <br /> Plumbing Fee PW Worksheet Required? Yes No X <br /> Mechanical Fee PW REVIEW: PW Reviewer: -4 eiP Date: / / -70/4 <br /> Ping Bldg Review Fee Ai I .SEE PW WORKSHEET-returned to file <br /> Water Fee PW Permit Approved, X 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 /> 1)1 <br />