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PERMIT# (J <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> BldglTl/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Uni <br /> Basement Yes No Fin/Unf Landscape or PI ing Inspection <br /> Type of Construction needed bef a final? Yes No <br /> Existing Sprinkler System?Yes No Unk Planni Inspector: <br /> Fire Sprinkler Required Yes_ No Ph ne#: <br /> Reason Approved by: Date: S <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 Sch ist <br /> Enclosure La1A Req'd Yes #of Net New Units: <br /> Deferred Sub• i tal Req'd Yes No <br /> Approved b : '�— Date: _ U ' 1 V Calculated School I act Fee: <br /> Comments School lmpactf, e Credit: <br /> Total Scho mpact Fee Owed: <br /> Comme s: <br /> ,\\a <br /> FEES PUBLIC W RKS <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 /> 212 <br />