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i—& 5C, 0 FOR OFFICE USE ONLY *ERMIT# <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size ��� Zoning Classification <br /> Garage Size `t U� Overlay/Agreement <br /> VALUATION �)V Nonresidential Use <br /> Number of Stories 2 Residential Use <br /> Occupancy Group VL, Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes_ No X Fin/Unf_ Landscape or Planning Inspection <br /> Type of Construction W needed before final? Yes_ No_ <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason Approve ate: <br /> Existing Fire Alarm Yes No Unk Historic Appro d y: Date: <br /> Fire Alarm Required Yes No School Mitig ion 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:17 School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> • ��5 1 �G 4W5 GC-,, Comments: <br /> PUBLIC WORKS <br /> FEES Intake Checked By: Date: �— <br /> Plan Check Fee Intake Comments: <br /> Building Permit FW f60q_n� <br /> Surcharge l li <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. q—2.P—AVC A-D <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 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 />