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FOR OFFICE USE ONLY PERMITD 0 ' / <br /> . BUILDING i <br /> PLANNING • . <br /> Bidg/TUAddn/Rem Size <br /> Zoning Classification i <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units:1 • <br /> Basement Yes No Fin/Um' <br /> Landscape or PIanning Inspection <br /> • <br /> Type of Construction needed before final? , Yes No <br /> Existing Sprinkler System? Yes No Unk inspector: <br /> I I <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason <br /> Approved by: Date: <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 School Dist <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submittal Req'd Yes No <br /> Approved by. Date: + I Calculated School Impact Fee: <br /> Comments: School Impact Fee Credit: <br /> • <br /> I 1 Total School Impact Fee Owed: <br /> - Comments: <br /> r <br /> I <br /> FEES P LH3L1C'V{t'ORICS <br /> Plan Check Fee Intake Checked By: Date: <br /> Building Permit Intake Comments: <br /> Surcharge <br /> Additional Plan Check PW Permit Application Submitted? Yes <br /> Plumbing Fee No <br /> PW Worksheet Required? Yes No <br /> Mechanical Fee PW REVIEW: PW Reviewer: Date; <br /> Ping Bldg Review Fee SEE PW WORKSHEET retumed to file <br /> Water Fee PW Permit Approved, PW Permit Not Required <br /> Sewer Fee <br /> Systems Dev.Fee - .FIRE DERAR.TMENT • <br /> Traffic Mitigation Fee Update/New Sprinklers Yes No <br /> ----Existing Bldg. <br /> Public Works Fee Update/New Detection Yes No <br /> School Mitigation Fee � �Exisfing Bldg. <br /> Update/New Chemical YesNo / Existing Bldg.Z <br /> Update/New Fire Service Yes No Existing Bldg. / <br /> Approved by: ' Date: ( o <br /> —30- 1 <br /> Comments: <br />