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FOR OFFICE USE ONLY *PERMIT# \L\ Y l 00(p <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <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: <br /> Basement Yes_ No_Fin/Unf Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes No <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason 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: Mils 'Pc Lti Date:5/4/(6 Calculated School Impact Fee: <br /> Comments: School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee Intake Checked By: Date: <br /> Building Permit Intake Comments: <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 Fire Sprinkler Yes )° No_ Existing Bldg.)° <br /> Public Works Fee Update/New Suppression Yes )4 No Existing Bldg. )1 <br /> School Mitigation Fee Update/New Fire S,ervi-e Yes No ,6 Existing Bldg.,Q <br /> Approved by: Date: 5•—_S_1 /o <br /> Comments: <br /> Z`y <br />