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D3 D FOR OFFICE USE ONLY PERMIT# V ll 63� <br /> BUILDING PLANNING <br /> • Bldg/TI/Addn/Rem Size (2---01 2- b Zoning Classification <br /> Garage Size Li?? l CI) Overlay/Agreement <br /> n <br /> VALUATION (�5 L 1 Nonresidential Use <br /> Number of Stories2 Residential Use <br /> Occupancy Group Imo- L Vt, Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes_ No,L 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 _�Dat /yam//7 <br /> Existing Fire Alarm Yes_ No Unk Historic Approved by: Date: "l <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 Calculated School Impact Fee: <br /> Approved by: Shk Date:8/2'/.- School Impact Fee Credit: <br /> Comments:s Total School Impact Fee Owed: <br /> Ill �tJ I_ I Pt + tiocEe9 Comments: <br /> PUBLIC WORKS <br /> FEES Intake Checked By: Date: <br /> Plan Check Fee Intake Comments: <br /> Building Permit <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:_kg Date: ? aQ/ 7 <br /> Ping Bldg Review Fee SEE PW WORKSHEET-returned to file <br /> Water Fee X 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 /> 2 <br />