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PERMIT# <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> BldglTl/Addn/Rem Size 5 U Zoning Classification - <br /> Garage Size Overlay/Agreement <br /> VALUATION 3 S `O Nonresidential Use ��-� SUYU w G\ C)- <br /> No. of Stories l Residential Use <br /> Occupancy Group Lil Proposed No. of Dwelling Units: —ter <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes_ No'_✓Fin/Unf Landscape or Planning Inspection / <br /> Type of Construction C�- (3 needed before final? Yes_ No V <br /> Exstg Sprinkler System? Yes , No Unk_ Planning Inspector: <br /> Fire Sprink Reqd? Yes_ No Phone#: -� <br /> Reason a � '1 3W °' Approve y: Datel2 f S <br /> Exstg Fire Alarm? Yes_ No Unk_ Historic Approved by: ----" Date: <br /> Fire Alarm Reqd? Yes_ No '� School Mitigation Reqd? Yes No <br /> Reason l Everett School Dist Mukilteo School Dist <br /> Enclosure(RC 6 .55) Yes No_ #of Net New Units: <br /> Approved by.////////" Date: - - } Calculated School Impact Fee: <br /> CommSchool Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> O6 <br /> NCYv i t'S Comments: <br /> p o CJ�L <br /> FEES PUBLIC WORKS <br /> Plan Check Fee PW Permit Required? Yes No <br /> Building Permit Intake Checked By: _ Date: /2- 2-j S <br /> Surcharge Comments: A/0 P�0 Gc7v/Ce rl2S_ <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 /> 2—l2- <br />