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• <br /> PERMIT# <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> BldglTl/Addn/Rem Size U Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION (,� g Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Z �-� 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 - Z needed before final? Yes No <br /> Existing Sprinkler System?Yes No Unk Planning Inspector: Q_ a1S <br /> Fire Sprinkler Required Yes V' No No_ Phone#: 'L , "Z S7 , 11'� <br /> Reason Approved by: Date: L,3.f to <br /> Existing Fire Alarm Yes No Zunk 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 Re 'd Yes #of Net New Units: <br /> Deferred Submitt Req'd Yes No_ <br /> Approved by: Date: Calculated School Impact Fee: <br /> Comments: School Impact Fee Credit: <br /> O 2 TQ C� (0S CC Total School Impact Fee Owed: pq-L- <br /> Comments:Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee it5(-j PW Permit Required? Yes No <br /> Building Permit t5_ Intake Checked By: Date: <br /> Surcharge ; Comments: <br /> Additional Plan Check <br /> Plumbing Fee <br /> Mechanical Fee <br /> Ping Bldg Review Fee 7 Fire Sprinkler Required by Fire Dept?Yes_No <br /> Water Fee W- ) (Fees: Yes/No, Explanation, Permit#'s, Amount) <br /> Sewer Fee Water Fee? Sewer Fee? <br /> Systems Dev. Fee -7 (p� <br /> Traffic Mitigation Fee <br /> Public Works Fee LeS at System Dev. Fee? Traffic Mitigation Fee? <br /> School Mitigation Fee f gjo7 <br /> 'IZ <br />