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PERMIT# )Y11511-0(00 <br /> FOR OFFICE USE ONLY <br /> BUILDING ;;PLANNING _ <br /> Bldg/TI/Adds/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use , <br /> No.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 /> Exstg Sprinkler System? Yes_ No Unk Planning Inspector: <br /> Fire Sprink Reqd? Yes_ No_ Phone#: <br /> Reason Approved by: Date: - <br /> Exstg Fire Alarm? Yes_ No Unk Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes_ No_ School Mitigation Reqd? Yes_ No_ <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure(RCW6 .55) Yes No_ #of Net New Units: <br /> Approved by:L Date: //-,A19,--As-- 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 PW Permit Required? Yes No <br /> Building Permit Intake Checked By: Date: <br /> Surcharge Comments: <br /> Additional Plan Check <br /> Plumbing Fee <br /> Mechanical Fee <br /> Ping Bldg Review Fee <br /> Water Fee (Fees:Yes/No,Explanation, Permit#`s,Amount) <br /> Sewer Fee Water Fee? Sewer Fee? <br /> Systems Dev. Fee <br /> Traffic Mitigation Fee <br /> Public Works Fee System Dev. Fee? Traffic Mitigation Fee? <br /> School Mitigation Fee <br /> 4 <br />