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FOR OFFICE USE ONLY PERMIT# 0(06%,o(9 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification 11 -I <br /> Garage Size Overlay/Agreement ?DO)REZ <br /> VALUATION Nonresidential Use W L {-}-00SF <br /> Number of Stories Residential Use <br /> Occupancy Group c — Proposed No. of Dwelling Units: <br /> Occupant Load n/ Total No. of Dwelling Units: <br /> Basement Yes_ No ✓Fin/Unf Landscape or Planning Inspection / <br /> Type of Construction �, _ I� needed before final? Yes_ No`7( <br /> Existing Sprinkler System? Yes .//No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes i/No Phone#: <br /> Reason E><5“,(, Approved by: . per,(� Date: —1 (o <br /> Existing Fire Alarm Yes 6/ No Unk Historic Approved by: t3)P, Date: <br /> Fire Alarm Required Yes ;/ No School Mitigation Reqd? Yes_ No <br /> Reason 5 t . Everett School Dist Mukilteo School Dist <br /> Enclosure Law App'es Yes #of Net New Units: <br /> Deferred Submittal eq'dYes_ No t/ Calculated School Impact Fee: <br /> Approved by: 4,f/b^ Date:9,/1 /(, School Impact Fee Credit: <br /> Comments' Total School Impact Fee Owed: <br /> Comments: <br /> PUBLIC WORKS <br /> FEES Intake Checked By: Date: <br /> Plan Check Fee Intake Comments: <br /> Building Permit r 4 4 L to <br /> r/K. Q . <br /> Surcharge �l/ T l Y 1'� fJ <br /> Additional Plan Check PW Permit Application Submitted? Yes - No <br /> Plumbing Fee PW Worksheet Required? Yes No <br /> Mechanical Fee PW REVIEW: PW Reviewer: Date: <br /> Ping Bldg Review Fee 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 />