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• FOR OFFICE USE ONLY lRMIT#O��� U [5'o O�7 <br /> BUILDING PLANNING <br /> BIdg/TI/Add n/ '�I7r)Size SZJ Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 1 Z-J Nonresidential Use <br /> Number of Stories -2, Residential Use C <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: Z <br /> Basement Yes_ No;?!�Fin/Unf_ Landscape or Planning Inspection / <br /> Type of Construction C E needed before final? Yes No V <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: �— <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 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 <br /> Approved by: Date: 612,4114'. Calculated School Impact Fee: <br /> Comments: f, School Impact Fee Credit: <br /> G� Total School Impact Fee Owed: <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee Intake Checked By: `c Date: <br /> Building Permit Intake Comments: Ftfice in Ow <br /> Surcharge <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: Z�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 Fire Sprinkler Required? Yes No <br /> Public Works Fee Fire Alarm Required? Yes No <br /> School Mitigation Fee APPROVAL TO ISSUE PERMITS: Yes No <br /> Fire Reviewer: Date Reviewed: <br /> Reviewed Under Permit Type/#: <br /> Comments: <br />