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ft))G ' f, FOR OFFICE USE ONLY PERMIT# I(vOti ' t .. <br /> vr y.:f.S..y s��+ <br /> t. <br /> — „,,,,,,,,,,.....,,m,..,,,,.,...:3_..._„.,,,,.....,.... .tix 6.. <br /> .-D�.'0 7'•�lav ii•:• ..ear`Y s ; -� <br /> Bldg/TI/Addn/Rem Size /.8 I .� < `I Zoning Classification K--�3 <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use — — <br /> Number of Stories / Residential Use J.AV LT. • A-V-LS <br /> S <br /> Occupancy Group A - 3 Proposed No.of Dwelling Units: <br /> Occupant Load L- Q Total No.of Dwelling Unite: , <br /> Basement Yes_ No - Fin/Unf Landscape or Planning Inspection <br /> Type of Construction 7'' 0 needed before final? Yes No <br /> Existing Sprinkler System? Yes No I/ Unk Planning Inspector. <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason - Approvedbgt70( Date: �-I t 1 110 <br /> Existing Fire Alarm Yes— No//Unk __ Historic Approved by: Date: 1 /- <br /> Fire Alarm Required Yes_ No V School Mitigation Reqd? Yes_ No_ <br /> Reason Everett School Dist Mukilteo School P• <br /> Enclosure Law Ap ies Yes_ f #of Net New Units: <br /> Deferred Submittald Yes_ No_ Calculated School Imp- -ee: <br /> Approved by: Date: 1 /- I(-1— 6 School Im•- - -ee Credit: <br /> Comments: -.. chool Impact Fee Owed: _ <br /> Comments:I.�.uA r�� p-c6A,_ _ of icctst <br /> 3v 4 <br /> oiceAcaqi t9. t ct�- <br /> -.'-':..7(;--_moi.=`._ -- _-:24F>r::Z`-s:;, _” _.:1._ - ?..#.r:-_ _ ..-,,• s,6,,. <br /> fam ,..,,,,, <br /> = = - - _v°- - =- it-fro intake Checked B Date: <br /> Plan Check Fee Intake Comments: <br /> Building Permit Ja ,1 ((I - 1 <br /> Surcharge `'� r e 1/(f � U�� <br /> Additional Plan Check PUS/ ermirApplicatiolt-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 /> :�-_Q:,:�.---;��;:--___- ---_ ._ - _ _--= _ - -. em. s=a,.v_:;; ,..�;�! <br /> Systems Dev. Fee F=a , . FIRE=DEFARTMEJ' t i : §i a g=>1 <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 YesNo_ Existing Bldg. <br /> Update!New Fire Service Yes— No_ Existing Bldg._ <br /> Approved by: Date: J <br /> Comments: - <br /> e.i. <br />