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FOR OFFICE USE ONLY PERMIT# <br /> BUILDING PLANNING; <br /> Bldg/TI/Addn/Rem Size '`'02.1 69 Z. Zoning Classification 12----g <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use _ <br /> Number of Stories Residential Use %-4)el i17`Tc <br /> Occupancy Group 1Z, " 7., Proposed No. of Dwelling Units: <br /> Occupant Load 0 P\ Total No.of Dwelling Units: <br /> Basement Yes_ No, Fin/Unf Landscape or Planning Inspection _ <br /> Type of Construction V-- Sie,'", / needed before final? Yes_ No i <br /> Existing Sprinkler System? Yes_ No V �Jnk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason / Approved byc Date: ! 1 j 1411,0 <br /> Existing Fire Alarm Yes No U "''-1 Date. <br /> 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 >4 #of Net New Units: <br /> Deferred Submittal R '4 Yes_ No Calculated School --ct Fee: <br /> Approved by: j irin Date:t 1, /471- /6, School I •=-ct Fee Credit <br /> Comments: • - School Impact Fee Owed: <br /> Comments'`.AR4ctk tiplit i' <br /> p <br /> 356 � _ � :�,� per- A_ � <br /> , �Y��\•/�� ✓ 4 <br /> 0V- 4-a/L- t/41Pt-1-E ,MI} .,.,..... <br /> PUBLIC WORKS <br /> FEES. Intake Checked By: �� Date: 1 1 a` r`.5t 1p <br /> Plan Check Fee Intake Comments: <br /> Building Permit <br /> Surcharge t(00q-Cots" <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 /> �Z� <br />