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• <br /> PERMIT# I v <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING n <br /> Bldg/TI/Addn/Rem Size 11JA Zoning Classification I� <br /> Garage Size Overlay/Agreement p <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 — ;3 needed before final? Yes No <br /> Exstg Sprinkler System? Yes ✓ No Unk Planning Inspector: <br /> Fire Sprink Reqd? Yes ✓ No_ Phone#: <br /> Reason C� 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(RC 64.55) Yes No_ #of Net New Units: <br /> Approved by: Date: (J Calculated School Impact Fee: <br /> Comments: School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> V�d ►/'e vl' &Aj HV <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 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 /> 2�Z <br />