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FOR OFFICE USE ONLY PERMIT# 'J I to0/-0 D 34i <br /> BUILDING PLANNING; <br /> Bldg/TI/Addn/Rem Size 1`01) t09 Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use WO,i VA c17tS <br /> Occupancy Group . Proposed No. of Dwelling Units: <br /> Occupant Load t)f r\ Total No. of Dwelling Units: <br /> Basement Yes No Fin/Unf Landscape or Planning Inspection <br /> Type of Construction �- S, / needed before final? Yes_ No V" <br /> Existing Sprinkler System? Yes No V �Jnk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No t_s Phone#: <br /> Reason Approved bylitc9eDate: I] <br /> 114I <br /> Existing Fire Alarm Yes_ No)nk 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 Yes_ No_ Calculated School :_ct Fee: <br /> Approved by: J Dater 1- ! 7— /Co School I •:.ct Fee Credit <br /> Comments: • . School Impact Fee Owed: <br /> CommentstAV, 0 1J, t <br /> 35?? � � - <br /> �.. ..��/r'T9-z �& . , <br /> PUBLIC WORKS <br /> FEES. Intake Checked By: �✓ Date: ° a t <br /> Plan Check Fee Intake Comments: <br /> Building Permit Q1127Ptt)/62M‘/C1°W, <br /> Surcharge <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 /> i J <br />