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FOR OFFICE USE ONLY PERMIT# <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION l Nonresidential Use <br /> Number of Stories 1 Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load `, Total No. of Dwelling Units: <br /> Basement Yes Noin/Unf Landscape or Planning Inspe on <br /> Type of Construction needed before final? s_ No_ <br /> Existing Sprinkler System? Yes`-' No Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes / No_ Phone#: <br /> Reason tom'_ Approved by: Date: <br /> Existing Fire Alarm Yes ✓ No Unk Historic Approved b . Date: <br /> Fire Alarm Required Yes ✓No_ School Mitigation eqd? Yes_ No <br /> Reason "L Everett School st Mukilteo School Dist <br /> Enclosure Law Appli s Yes #of Net New its: <br /> Deferred Submittal 4q'd Yes No Calculated S ool Impact Fee: <br /> Approved by: Date: School Impit Fee Credit: <br /> Comments: Total School Impact Fee Owed.- <br /> Comments: <br /> wed:Comments: <br /> Y <br /> PUBLIC WORKS <br /> FEES Intake Checked By: - Date: <br /> Plan Check Fee Intake Comment's: f u <br /> Building Permit t,,,o <br /> Surcharge <br /> Additional Plan Check PW Permit Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet Required? Yes No <br /> Mechanical Fee P REVIEW: PW Reviewer: Date: <br /> Ping Bldg Review Fee M A- SEE PW WORKSHEET-returned to file <br /> Water Fee PW Permit Approved, VPW Permit Not Required <br /> Sewer Fee <br /> Systems Dev. Fee FIRE DEPARTMENT <br /> Traffic Mitigation Fee Update/New Sprinklers Yes Z No_ Existing Bidg. ,_ <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 /> Z�� <br />