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2 0 FOR OFFICE USE ONLY IsERMIT# CJ l u t - D l� <br /> BUILDING PLANNING <br /> Bldg[TI/Addn/Rem Size ��� Zoning Classification <br /> Garage Size <br /> d� `l v� Overlay/Agreement �r <br /> VALUATION JV Nonresidential Use <br /> Number of Stories 2 Residential Use <br /> Occupancy Group {`; 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 needed before final? Yes— No <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ Na Phone#: 1 <br /> Reason Approved by.o.J m .r /l Date: (O <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 Calculated School Impact Fee: <br /> Approved by: Date: // ZL y, School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> • ��S 1 �G ` W5 -' Comments: <br /> PUBLIC WORKS <br /> FEES Intake Checked By: Date: <br /> Plan Check Fee Intake Comments: <br /> Building Permit , OJM14 <br /> 0Surcharge <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 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 />