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• <br />FOR OFFICE USE ONLY <br />BUILDING <br />Bldg/TI/Addn/Rem Size � /S � <br />Garage Size <br />VALUATION C� � <br />Number of Stories <br />Occupancy Group <br />Occupant Load <br />Basement Yes � No Fin n <br />Type of Construction � <br />Existing Sprinkler System? Yes No Unk <br />Fire Sprinkler Required Yes No <br />Reason <br />Existing Fire Alarm Yes No Unk <br />Fire Alarm Required Yes No <br />Reason <br />Enclosure Law Req'd Yes <br />Deferred Submittal Req'd Yes No <br />Approved by: � Date: �P A � <br />Comments: ����� ��� � �S� <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Plumbing Fee <br />Mechanical Fee <br />Ping Bldg Review Fee <br />Water Fee <br />Sewer Fee <br />Systems Dev. Fee <br />Traffic Mitigation Fee <br />Public Works Fee <br />School Mitigation Fee <br />• ,IIn/�j � — oZ . <br />PERMIT # 1 lX v � <br />PLANNING <br />nina Classification <br />Overlay/Agreement <br />Nonresidential Use <br />Residential Use <br />Proposed No. of Dwelling Units: <br />Total No. of Dwelling Units: <br />Landscape or Planning Inspection <br />needed before final? Yes No <br />Planning Inspector: <br />Phone #: <br />Approved by: Date: <br />Historic Approved by: Date: <br />School Mitigation Reqd? Yes No <br />Everett School Dist Mukilteo School Dist <br /># of Net New Units: <br />Calculated School Impact Fee: <br />School Impact Fee Credit: <br />Total School Impact Fee Owed: <br />Comments: `�� <br />i�'�d �S���f� �l�i���'er/r�'� r�� ��i; � <br />�e��� -�� ���✓ � r�/i� <br />PUBLIC WORKS <br />PW Permit Required? Yes No <br />Intake Checked By: Date: 3-2 —��� <br />co N � ts� r�Nl�,c�l��� �=��- <br />� c f��1�it�r��S� C�J�- <br />SF� P%cl ee-�t/i � Gv�Ks/f�T <br />/ <br />Fire Sprinkler Required by Fire Dept? Yes_ No <br />(Fees: Yes/No, Explanation, Permit #'s, Amount) <br />Water Fee? Sewer Fee? <br />� <br />S stem Dev. Fe ? Traffic Miti atio Fee� <br />� <br />ZI� <br />