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FOR OFFICE USE ONLY PERMIT# Pb t I-0,6 3 <br /> BUILDING PLANNING.„ <br /> Bldg/TI/Addn/Rem Size 1-021 69 Zoning Classification 12- <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use •RAM <br /> Aj71 S <br /> Occupancy Group 1&. " Proposed No. of Dwelling Units: <br /> Occupant Load (!JP\ Total No.of Dwelling Units: <br /> Basement Yes_ No/'Fin/Unf Landscape or Planning Inspection <br /> Type of Construction ��- , / needed before final? Yes_ No 1 <br /> V / <br /> Existing Sprinkler System? Yes No �lnf Planning Inspector: <br /> Fire Sprinkler Required Yes No / Phone#: 1 <br /> Reason r Approved WV Date: I 1 j V16"' <br /> Existing Fire Alarm Yes_ No ink Historic Approved by: Date. <br /> Fire Alarm Required Yes No_ . School Mitigation Reqd? Yes_ No <br /> Reason Everett School Dist Mukilteo Schoo <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submittal R ' Yes_ No Calculated School s-:.ct Fee: <br /> Approved by: J Dater I- l < `c a School I ct Fee Credit: <br /> Comments: School Impact Fee Owed: Lott <br /> n^� <br /> Comments''Nix,OX � � o Lott <br /> „OkVA>4"C"94° 7-+Iitt E+Ok. diat <br /> PUBLIC WORKS ' <br /> FEES Intake Checked By: Th Date: al a ' Xtap <br /> Plan Check Fee Intake Comments: <br /> : mit <br /> uilding Per <br /> urchargeg#87194)/ (0M1- °°W/ <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: 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 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 />