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FOR OFFICE USE ONLY <br />BUILDING <br />Bldg/TI/Addn/Rem Size U l.f/ <br />Garage Size <br />VALUATION �� <br />Number of Stories <br />Occupancy Group �'� � — <br />Occupant Load <br />Basement Yes No Fin/Unf <br />Type of Consfruction <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 q'd Yes <br />Deferred Submit � eq'd Yes No <br />Approved by: � Date: c� � �, <br />Comments: <br />�.' 1� 01��` G� �n CcJ <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 />Sysfems Dev_ Fee <br />Traffic Mifigation Fee <br />Public Works Fee <br />School Mifigation Fee <br />PERMII � V I I�JO�� ���/i <br />PLANNING <br />Zoning Classification � �,� � <br />. <br />Overlay/Agreement <br />Nonresidential Use � <br />Residential Use �e'—' <br />Proposed No. of Dwelling Units: �� <br />Totai No. of Dwelling Units: � <br />I�andsca�e or t'lane�ing �nspecticn <br />needed before final? Yes No x <br />Planning Inspector: <br />Phone #: <br />Approved by: �,�- � Date: lo � Z`�' 1�o <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 />Commenfs: <br />1C.� Ol���o �r�cA�x� <br />PUBLIC WORKS. _ <br />PW Permit Required? Yes No . <br />Intake Checked By: Date: - Z(?/ <br />Comments: �� �L� L�Q7!� � <br />� �-�l�J S� i}'n:(�^�vi?7�c,p ,e��c�G�' .. <br />?7z <br />� <br />--- l��T �E-c�Ult�E� -- <br />Fire Sprinkler Required by Fire Dept? Yes No� <br />(Fees: Yes/No, Explanation, Permit #'s, Amount) <br />Water Fee? Sewer Fee? <br />S stem Dev. F? Traffic Miti atio ee� <br />