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c i <br /> FOR OFFICE USE ONLY PERMIT# <br /> BU I NG P G <br /> 1BIdg/TI/Addn/Rem Si Zoning Classification i <br /> Garage Size O rlay/Agreeme <br /> VALUATIONonresiden se <br /> 0000 <br /> Number Stories Resi al Use <br /> Occ ncy Group1�00sed No. of Dwellin its: <br /> upant Load yr Total No. of Dwellin its: <br /> asement Yes Noin/Unf Landscape or ning Inspection <br /> Type of Con ction needed be final? Yes zo— <br /> Existing <br /> S kler System? Yes No Unk Planni nspector: <br /> Fire S nkler Required Y No_ Ph #: 40 <br /> ason A or orproved by: Date: <br /> xisting Fire Alarm Z Yes No 1 1.01 <br /> Unk Historic Approved b DatejV <br /> Fire Alarm Requi Yes No School Miti ati eqd? Yes <br /> Reason Everett Sc Dist MukiltoAlchool Dist <br /> Enclosure AApplies Yes #of Netew Units: <br /> Deferre ubmittal Req'd Yes 4 No Calcuffed School Impaee: <br /> VCments: <br /> d by: Date: School Impact Fee it: <br /> Total School Impgoee Owed: jr <br /> Comments: <br /> /00r <br /> PUBLIC WOCKS <br /> FEES Intake Ch d By: ate: <br /> Plan Check Fee Inta omments: <br /> Building Peraor <br /> Surcharg/Z 40 <br /> AdditjI Plan Check PW Permit ication Sub d? Yes <br /> rechanical <br /> ng Fee PW Wo eet Require Yes No <br /> Fee ' P IEW: PW sewer: <br /> Ping Bldg Review F SEE PW KSHEET-return o file <br /> Water Fee %` ` PW Per Approved, Permit Not Required <br /> Sewer Fee Jr <br /> Systems . Fee FIRE DEPARTMENT <br /> Traffi itigation Fee Update/New Sprinklers Yes_ No_ Existing Bldg._ <br /> P c Works Fee Update/New Detection Yes No Existing Bldg. <br /> chool Mitigation Fe Update/New Chemical Yes No Existing Bldg. <br /> Update/New Fire Service Yes_ No Existing Bldg. <br /> Approved by: Date: <br /> Comments: <br /> 3(3 <br />