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>�2 0 • FOR OFFICE USE ONLY �ERMIT#(-A oq <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size '11D Zoning Classification <br /> • Garage Size Overlay/Agreement <br /> VALUATION ,,7 Nonresidential Use <br /> 2 Number of Stories Residential Use <br /> Occupancy Group , /� 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 needed before final? Yes No <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes Na Phone#: <br /> Reason Approved ate: C Z <br /> Existing Fire Alarm Yes No Unk Historic Appr ed 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:,7/4.&_ School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> + W Comments: <br /> • <br /> PUBLIC WORKS <br /> FEES Intake Checked By: Date: <br /> Plan Check Fee Intake Comments: <br /> Building Permit �/,y,I j�^���:,,� 1 <br /> Surcharge 11'(�(D J I <br /> Additional Plan Check PW Permit Application Submitted? Yes ?�_ No <br /> Plumbing Fee PW Worksheet Required? Yes _ No <br /> Mechanical Fee 1K, <br /> W REVIEW: PW Reviewer Date: eB <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 lYes No Existing Bldg. <br /> • Approved by: Date: <br /> Comments: <br />