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0 S 0 <br /> PERMIT# % (51� ( ✓ <br /> FOR OFFICE USE ONLY <br /> ... , . -:2.1 BUILDING ;PLANNING r , <br /> Bldg/TI/Addn/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 ! jc 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(R 64.55) Yes No #of Net New Units: <br /> Approved b . Date: I�-._i3_ i s- Calculated School Impact Fee: <br /> rp <br /> Commes School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> k W 4: ..FEE3 .. .;uv -1-,,,,4,.,,,,s4.4,,. ,,f.,; :4 ; PUBLIG-WORKS „4 . . <br /> Plan Check Fee PW Permit Required? Yes No X <br /> Building Permit Intake Checked By: i Date: /2 8-15 <br /> Surcharge Comments: <br /> Additional Plan Check <br /> Plumbing Fee <br /> Mechanical Fee <br /> Ping Bldg Review Fee Fire Sprinkler Required by Fire Dept?Yes No_ <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 /> P--/� <br />