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FOR OFFICE USE ONLY PERMIT#I <br /> BUILDING PLANK 'ING <br /> BIdgM/Addn/Rem Size Zoning Classification <br /> Garage Size OverlaylAgreement <br /> VALUATION Nonresidential Use <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 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 Req'd Yes No_ <br /> Approved by: Date: Calculated School Impact Fee: <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: <br /> Surcharge <br /> Additional Plan Check PW Permit Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet Required? Yes No <br /> Mechanical Fee PW REVIEW: PW Reviewer: Date: <br /> Ping Bldg Review Fee 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 z� No_ Existing Bldg. <br /> School Mitigation Fee Update/New Chemical YesNo� Existin Bldg. <br /> — — 9 g•.— <br /> Update/New Fire Se ice Yes— No z::�'Existing Bldg.— <br /> Approved by: Date: <br /> Comments: <br />