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PERMIT# ` 1J01-4 `' ✓l <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size -I -0 / ) Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 212 S )v J S- Nonresidential Use <br /> Number of Stories I Residential Use _ <br /> Occupancy Group $ - 2 Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes— No C Fin/Unf_ Landscape or Planning Inspection <br /> Type of Construction I- 5 needed before final? Yes, No <br /> Existing Sprinkler System?Yes_ No LL Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No t-7 Phone#: <br /> Reason Approy bid y: 7 Date: 3 �� <br /> Existing Fire Alarm Yes No//Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes No V School Mitigation Reqd? Yes— No <br /> Reason / Everett School Dist Mukilteo School Dist <br /> Enclosure Law R 'd Yes #of Net New Units: <br /> Deferred Submitt' eq'd Yes_ No <br /> Approved by: , Date: LI-a ci- Calculated School Impact Fee: <br /> Comments: Impact <br /> Total School ImpacFeetCredit: d: <br /> Fee Owe <br /> Comments: <br /> 3 c \Lp —cd—f <br /> FEES PUBLIC WORK <br /> Plan Check Fee PW Permit Required? Yes V No <br /> Building Permit Intake Checked By:-A4 Date: <br /> L/ <br /> e:: -a 7 -20/6'f <br /> Surcharge Comments: ) lot/1."1-1 �f r r`�I eoi(/E <br /> Additional Plan Check NJ ii-Ye. fo Sabrina9 Drzwrrr" <br /> ti Plumbing Fee -RFvrEsv Pfa/as ac one. 4Pa-91 cH'� Pt qN��7 <br /> Mechanical Fee <br /> 4tirc vc7h kparfrn r.� far ' V'Is./ ( C1:1Ve l-t s7R ',SAL pp A-r l s er <br /> Ping Bldg Review Fee Fire Sprinkler Required by Fire Dept?Yes_No/ <br /> Water Fee -- (Fees: Yes/No, Explanation, Permit#'s, Amount) <br /> Sewer Fee - Water Fee? Sewer Fee? <br /> Systems Dev. Fee F <br /> Traffic Mitigation Fee -- phi <br /> Public Works Fee g5,00 System Dev. Fee? Traffic Mitigation Fee? <br /> School Mitigation Fee — 14 c9 <br /> 2 <br />