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PE I# �/! Y�O�I 'D�O� <br /> FOR OFFICE USE OIVLY <br /> BUILDING PLANNING <br /> Bidg/TI/Addn/Rem Size '�''�=� .�,f�. Zoning Classification '� <br /> Gara e Size � � <br /> g � �� �� Overlay/Agreement � <br /> VALUATION '-�`"y /�� Nonresidential Use � � <br /> Number of Stories �- Residential Use �j� <br /> Occupancy Group �� %.� Proposed No. of Dwelling Units: ��(� <br /> Occupant Load Total No. of Dwelling Units: G'.,.�'�.. <br /> Basement Yes_ NoJ� Fin/Unf Landsca�e or Planning Inspecfio <br /> Type of Construction �`l� needed before final? Yes � No <br /> Existing Sprinkler System?Yes No Unk Planning Inspect . ,���0� <br /> Fire Sprinkler Required Yes No Phone#: 9-2�— � � �j` <br /> Reason Approved b : Date: Z�- � <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 v Mukilteo School Dist <br /> Enclosure Law Req'd Yes #of Net New Units: �� <br /> Deferred Submittal Req'd Yes No <br /> Approved by: Date: � ���' J. Calculated School Impact Fee: ��' ��j � <br /> Comments: -� .,, l=�� '% ifu�<.��_ School Impact Fee Credit: ('j�� <br /> �=�-� �'— ��- � <br /> Total School Impact Fee Owed: � � <br /> Comments: <br /> ���..�— --�-Y.�t� �c,�r-� <br /> �����r.�c� � �S i�- b�� <br /> FEES PUBLIC WORKS <br /> Plan Check Fee PW Permit Required? Yes No <br /> Building Permit Intake Checked By: Date: <br /> Surcharge Comments: � 6�� <br /> Additional Plan Check � /� �� +�b r�✓ O�� <br /> Plumbing Fee �% �� <br /> Mechanical Fee / <br /> d 2Z; Z4d� <br /> Ping Bldg Review Fee Fire Sprinkler Required by Fire Dept?Yes_No <br /> Water Fee (Fees: Yes/No, Explanation, Permit#'s,Amount) <br /> Sewer Fee Water Fee? Sewer Fee? ��� <br /> Systems Dev. Fee Q�,� <br /> Traffic Mitigation Fee �i� <br /> T w <br /> Public Works Fee System Dev. Fee?� ic Miti ation Fee? �j(� <br /> School Mitigation Fee � <br /> J <br /> �I� �i <br /> � � <br /> \�v. _ r <br />