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PE T# V1 O1i O <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size >'" Ps Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Z Residential Use <br /> Occupancy Group 11 <br /> — Z Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes_ No LFin/Unf Landscape or Planning Inspection <br /> Type of Construction —/3 needed before final? Yes <br /> — No <br /> Existing Sprinkler System?Yes No`� Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No•----- Phone#: <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Yes No_Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No °� School Mitigation Reqd? Yes No_ <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure La ,Req'd Yes_ #of Net New Units: <br /> Deferred Sub ittReq'd Yes No ✓ <br /> Approve y: fil <br /> Date: 4 _ /f _ /6 Calculated School Impact Fee: <br /> Comm nts: 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 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 />