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FOR OFFICE USE ONLY PERMIT# wb-oo4 <br /> BUILDING PLANNING <br /> Bldg/TI/Kdq',4CRem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use �r <br /> Number of Stories 1 Residential Use <br /> Occupancy Group k 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 U ir. needed before final? Yes_ No <br /> Existing Sprinkler System? Yes No Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by: Date: - N <br /> Existing Fire Alarm Yes No_Unk_ Historic Approved by: Date: (A:3.LCL <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes_ No <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submittal Req'd Yes No Calculated School Impact Fee: <br /> Approved by: Date:1k711Z /c, School Impact Fee Credit: <br /> Comments: / L / �� 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 ?4; Tee-4 1.,W me, <br /> Surcharge if beet¢ Sj 0V <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: X — <br /> Ping Bldg Review Fee kip-SEE PW WORKSHEET-returned to file <br /> Water Fee PW Permit Approved, PW Permit Not Required <br /> Sewer Feed t 9)1 ' <br /> Systems Dev. Fee FIRE DE ARTMENT <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 />