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PERMIT# <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 3 Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> No. of Stories Residential Use <br /> Occupancy Group /3 Proposed No. of Dwelling Units: <br /> Occupant Load b Total No. of Dwelling Units: <br /> Basement Yes No Fin/Unf Landscape or Planning Inspection <br /> Type of Construction /- /3 needed before final? Yes No <br /> Exstg Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprink Reqd? Yes_L1 No Phone#: <br /> Reason f)'� . Approved by: Date: <br /> Exstg Fire Alarm? Yes ✓No Unk Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes V/ No School Mitigation Reqd? Yes No <br /> Reason I 1K Everett School Dist Mukilteo School Dist <br /> Enclosure (RC 64.55) Yes_ No_ #of Net New Units: <br /> Approved by: Date: Calculated School Impact Fee: <br /> Comments. 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 <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 />