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D�C�'� � ��((� �;. ERMIT#�I ��JU/� �'� <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 2� S,� Zoning Classification ' <br /> Garage Size bZS �,� Overlay/Agreement <br /> VALUATION �� 3 Nonresidential Use <br /> Number of Stories �� Residentiai Use S� <br /> Occupancy Group � � Proposed No. of Dwelling Units: Q�� <br /> Occupant Load Total No. of Dwelling Units: d�� <br /> Basement Yes_ No�Fin/Unf Landscape or Planning Inspection�� <br /> Type of Construction needed before final? Yes y No <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: Date: �' 2(p � � <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <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 <br /> Approved by: Date:� %° Calculated School Impact Fee; § �f- <br /> Comments: ,��Z /�G �' 1,�i1�'L School Impact Fee Credit: <br /> Total School Impact Fee Owed: � .�0 <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee � Intake Checked By: � Date: S-23 -2��6 <br /> Building Permit Intake Comments: (� �71 �KF l!1/ •-/'`�fs��'�V i'D EF. <br /> Surcharge ��G� ��Gi�1k,CD — C:�1"F.G�� �'1�1 ��•'L�f�{7Qm C.f�y' !t'4/taq <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:��ZZ-'Z0�6 <br /> Ping Bldg Review Fee � SEE PW WORKSHEET-returned to file ��60�-0 y� <br /> Wafer Fee Ll�,�j � cJ� �PW Permit Approved, PW Permit Not Required <br /> Sewer Fee <br /> Systems Dev. Fee o. / FIRE DEPARTMENT <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 Serv�ce Yes No Existing Bldg._ <br /> Approved by: Date: - ' �-l <br /> Comments: , <br /> �Z <br />