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PERMIT# l,'I���� �l�"I <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bidg/TI/Addn/Rem Size Z ,3 S� Zoning Classification 1���j� <br /> Garage Size 3 8S S� Overlay/Agreement <br /> VALUATION O/ (� c� Nonresidential Use <br /> Number of Stories Residential Use '�� <br /> Occupancy Group � �( Proposed No. of Dwelling Units: � <br /> Occupant Load Total No. of Dwelling Units: I <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: �' �r 5 <br /> Fire Sprinkler Required Yes No Phone#: �- ZS7 - 7( <br /> Reason Approved by: Date: 'Vi- 3.��o <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 Req'd Yes #of Net New Units: � <br /> Deferred Submittal Req'd Yes No <br /> Approved by: Date: lp / �6 Calculated School Impact Fee: <br /> Comments: Z p�2 /RL �i �S�G School Impact Fee Credit: � <br /> Total School Impact Fee Owed: �Q�("j„� <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee � ���- ��� PW Permit Required? Yes No <br /> Building Permit � /, �= � Intake Checked By: Date: <br /> Surcharge l . j' Comments: <br /> Additional Plan Check � , <br /> Plumbing Fee � � i �;' `�� � 1 �C'�� � �� � � <br /> Mechanical Fee ��C� C% �% <br /> Ping Bldg Review Fee " % Fire Sprinkler Required by Fire Dept?Yes_No <br /> Water Fee wj ;� I• l (Fees: Yes/No, Explanation, Permit#'s, Amount) <br /> Sewer Fee ' �� E Water Fee? Sewer Fee? <br /> Systems Dev. Fee ��4-�C'� <br /> Traffic Mitigation Fee i'��z�� <br /> Public Works Fee -��.L'� �stem Dev. Fee? Traffic Mitigation Fee? <br /> School Mitigation Fee G����•E?�'� <br /> 2�7i <br />