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FOR Oi <br />BUILDItdG <br />Bldg/TI/Addn/Rem Size <br />Garage Size <br />VALUATION <br />Number of Stories <br />Occupancy Group <br />Occupant Load <br />Basement Yes No Fin/Unf <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 Applies Yes <br />Deferred Submittal Req'd Yes No <br />Approved by: (Y`r� ���� Date: ? 26 <br />Comments: <br />� i� � � r i�"Uk e �H �/i i <br />FEES ` <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Plumbing Fee <br />Mechanical Fee <br />Ping Bidg 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 />'=FICE USE OI�ILY PERMIi i# ��� �0 � �.Q" C �� �' <br />_� <br />�'LANNING <br />Zoning Classification °� <br />Overlay/Agreement <br />Nonresidential Use �, ,l-�(,.� - �I}�� � � <br />Residential Use - <br />Proposed No. of Dwelling Units: "- � <br />Total No. of Dwelling Units: -- <br />Landscape or Planning Inspection <br />needed before fi Yes _-1d6 � <br />Planning Inspector: <br />Phone #: <br />Approved Date: 2. <br />Historic Approved by: �— Date: <br />School Mitigation Reqd? Yes _ No <br />— / <br />Everett School Dist Mukilteo Sch�ol�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 />;�u ;.�,�,; ���"�� ���,� �I -o� � . C <br />- PUBLIC 1NORKS - <br />Intake Checked By:�"- Date: ""-'- <br />Intake Comments: f� �,(,� L� ,_Q`71Cy�1..� No <br />Sys ��� �- � �,���� . � �n,a�% �� ��� • <br />PW Permit Application ubmitted? Yes No�_ <br />PW Worksheet Required? Yes No <br />�P REVIEW: PW Reviewer: - Date:�7 -� ���-i <br />SEE PW WORKSHEET-ret rned to file <br />PW Permit Approved, �PW Permit Not Required <br />�I2 <br />