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FOR OFFICE USE ONLY PERMIT# <br /> BUILDING <br /> Bldg/TI/Addn/Rem Size Zoning Classification `" 2__ <br /> .Size K 2'_& S Overlay/Agreement <br /> VALUATION L If. Nonresidential Use <br /> Number of Stories Residential Usecg--- <br /> Occupancy Group ((.4_ 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 needed before final? Yes No_ <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved b Date: i <br /> Existing Fire Alarm Yes No Unk_ Historic Approved���ed"``by: Date: <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes_ No_ <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law pplies #of Net New Units: <br /> Deferred Su ittal Req'd Yes No_ Calculated School Impact Fee: <br /> Approved - 7 Date), ,y r�, School Impact Fee Credit: <br /> Comment : %L Total School Impact Fee Owed: <br /> 2-L-- Comments: . <br /> PUBL1G WCRK5 = q <br /> FEES; __-.. . Intake Checked By;0g Date: (-7--ZO/.G <br /> Plan Check Fee Intake Comments: /va r I u _� d - <br /> Building Permit �$l'� <br /> Surcharge <br /> Additional Pian Check PW Permit Applicaticn-Submitted? Yes No ( <br /> Plumbing Fee PW Worksheet Required? ' Yes No <br /> Mechanical Fee P REVIEW: PW Reviewer:�E÷ Date: •-7-_Zd/./ <br /> Ping Bldg Review Fee kI/ SEE PW WORKSHEET-returned to file <br /> Water Fee - PW Permit Approved, )PW Permit Not Required <br /> Sewer Fee - <br /> Systems Dev. Fee = _ FIRE DEPARTMENT . <br /> Traffic Mitigation Fee Update/New Sprinklers Yes No_ Existing Bldg. <br /> Public Works Fee Update/New Detection Yes No Existing Bldg.— <br /> School Mitigation Fee Update/New Chemical Yes— No_ Existing Bldg. <br /> Update/New Fire Service Yes_ No Existing Bldg.— <br /> Approved by: Date: <br /> Comments: <br />