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FOR OFFICE USE ONLY Q-ERnnIT# ��) I lP li�"L�-{ I <br /> BUILDING �LANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification �.' � <br /> Garage Size Overlay/Agreement '�— <br /> VALUATION Nonresidential Use �)��,� , r <br /> Number of Stories Residential Use <br /> Occupancy Group � 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 needed before final? Yes No ✓ <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: '�^ <br /> Reason Approved � , � Date: `" z.v � <br /> Existing Fire Alarm Yes No Unk Historic Approve 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 Sub ittal Req'd Yes No <br /> Approved Date: - 't. . � Calculated School Impact Fee: <br /> _ � ,� <br /> Comments: School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee Intake Checked By: `—� Date:-�^ <br /> Building Permit Intake Comments: " ,� . C�,�/ E,7.Lf'Z �U� F,� <br /> .� �`�''� � - � <br /> Surcharge �"� ti` '�'LL''� � � . <br /> Additional Plan Check PW Permit Applicatior`�f Submitted? Yes No�_ <br /> Plumbing Fee PW Worksheet Required? Yes No _ <br /> Mechanical Fee PW REVIEW: PW Reviewer:.��Date: �i- � -?�t'�'� <br /> Ping Bidg Review Fee SEE PW WORKSHEET-returned to file �—�IGL��� �i'��1�" <br /> Water Fee PW Permit Approved, �PW Permit Not Required <br /> Sewer Fee <br /> Systems Dev. Fee FIRE DEPARTMENT <br /> Traffic Mitigation Fee Update/New Sprinklers Yes 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 /> � ��, <br /> �_ <br />