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FOR OFFICE USE ® � ERMIT# SO3�a57 <br /> BUILDING PLANNING <br /> fBldgJ[TI/Addn/Rem Size 1(916 Z` Zoning Classification <br /> Garage Size ,� �F Overlay/Agreement <br /> VALUATION Z38 ? 3 Nonresidential Use <br /> Number of Stories Residential Use 5 <br /> Occupancy Group Proposed No. of Dwelling Units: I <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 NoPhone#: <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 7< No <br /> Reason Everett School Dist_ Mukilteo School Dist <br /> Enclosure Law Applies Yes— #of Net New Units: 1 <br /> Deferred Submittal Req'd Yes No— <br /> Approved <br /> o_Approved by: Date:611114 Calculated School Impact Fee: Oq 2 <br /> Comments: Z Ol Z School Impact Fee Credit: <br /> Total School Impact Fee Owed: Dq <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee Intake Checked By: Date: <br /> Building Permit 17-73- 15- Intake Comments: <br /> Surcharge r S (W I&O a <br /> I' <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 17-7- SEE PW WORKSHEET-returned to file <br /> Water Fee PW Permit Approved, PW Permit Not Required <br /> Sewer Fee <br /> Systems Dev. Fee I '7q Q0 FIRE DEPARTMENT <br /> Traffic Mitigation Fee Update/New Sprinklers Yes_ No_ Existing Bldg._ <br /> Public Works Fee j Update/New Detection Yes No_ ExistingBldg. <br /> — g'— <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 /> r� <br />