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DZ CC> FOR OFFICE USE ONLY PERMIT <br /> BUILDING n PLANNING <br /> Bldg/TI/Addn/Rem Size 2��� Zoning Classification <br /> Garage Size I I Overlay/Agreement q <br /> LIM <br /> VALUATION n Nonresidential Use <br /> Number of Stories 2 Residential Use <br /> Occupancy Group R VL 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 /> ReasonApproved ate: 2 / <br /> Existing Fire Alarm Yes No Unk Historic ppr ve 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 _ School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> + W S Comments: <br /> • <br /> PUBLIC WORKS <br /> FEES Intake Checked By: Date: <br /> Plan Check Fee Intake Comments: <br /> Building Permit P I )/'C q C q 3 <br /> Surcharge l'V( Cj l� l� <br /> Additional Plan Check PW Permit Application Submitted? Yes X No <br /> Plumbing Fee PW Worksheet Required? Yes_ 1 No <br /> Mechanical Fee PW REVIEW: PW Reviewer:-A-ffDate: —23-Zd16 <br /> Ping Bldg Review Fee '�C SEE PW WORKSHEET-returned to file <br /> Water Fee X 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 /> r v <br />