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FOR OFFICE USE ONLY PERMIT# <br /> BUILDING PLANNING: <br /> Bldg/TI/Addn/Rem Size ,`o2.) 69 Z_ Zoning Classification 12- <br /> Garage <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use '�, 'S7tS, <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes— No{'Fin/Unf Landscape or Planning Inspection <br /> Type of Construction �- ie.'.t / needed before final? Yes No i <br /> Existing Sprinkler System? Yes_ No V AJnk_ Planning Inspector: — <br /> Fire Sprinkler Required Yes No / Phone#: <br /> Reason ✓ Approved byi' Date: ! I] <br /> $Lf/i p <br /> Existing Fire Alarm Yes_ No_Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes_ No <br /> Reason Everett School Dist Mukilteo Schoo s' <br /> Enclosure Law Applies Yes )O #of Net New Units: <br /> Deferred Submittal R ' Yes_ No_ Calculated School .-ct Fee: <br /> Approved by: Date:/ / I'® /60 School I ct Fee Credit <br /> Comments: School Impact Fee Owed: <br /> Commentsi.�u, IJP. liatt <br /> 35 <br /> 01c- C6ti trr AV vININ <br /> PUBLIC WORKS <br /> FEES Intake Checked By: 15y Date: 01 a _ ?I <br /> Plan Check Fee Intake Comments: <br /> Building Permit <br /> Surcharge n,^ J�(�I,J`/(06/vD/S <br /> �/ <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 i <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 />