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FOR OFFICE USE ONLY PERMIT# <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification = <br /> Garage Size Overlay/Agreement yds <br /> VALUATION %•; '"S` Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group r® Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: A <br /> Basement Yes_ No -X. 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 by: Date: <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 Re 'd IYes No Calculated School Impact Fee: <br /> Approved by: Date: Z /� School Impact Fee Credit: <br /> Comments: ©� f� Total School Impact Fee Owed: <br /> Comments: <br /> 0c;16 11 -c77..1� Cenc �� `6-vl� <br /> PUBLIC WORKS <br /> FEES Intake Checked By: Date: Z p <br /> Plan Check Fee Intake Comments: <br /> �e� <br /> , , _Building Permit C0� Or W � rv����n3 <br /> Surcharge pWLlnIf h't 't7t&/?iE f f E�i/La� wv►*— <br /> Additional Plan Check PW Permit Application Submitted? Yes No X <br /> Plumbing Fee PW Worksheet Required? Yes No <br /> Mechanical Fee PW REVIEW: PW Reviewer: Date: 8 'S -0"L <br /> Ping Bldg Review Fee !,AJ SEE PW WORKSHEET-returned to file <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 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 Service Yes No Existing Bldg _ <br /> Approved by: Date: <br /> Comments: <br />