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FOR OFFICE USE ONLY PERMIT# <br /> BUILDING PLANNING <br /> Bldg/TIAdd Rem Size (� , Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use t <br /> Number of Stories 2 Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load 2 S Total No. of Dwelling Units: <br /> Basement Yes_ No_Fin/Unf_ Landscape or Planning Inspection <br /> Type of Construction ill -- li� needed before final? I Yes No <br /> Existing Sprinkler System? Yes No Unk Planning Inspecto . <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved Date: <br /> Existing Fire Alarm Yes No Unk - Historic Approved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes ­-go- <br /> -Reason <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law A plies Yes #of Net New Units: <br /> Deferred Submitta 'Req'd Yes No_ Calculated School Impact Fee: -1- <br /> Approved by: Date: Q - U - (o School Impact Fee Credit: <br /> Comments- / Total School Impact Fee Owed: <br /> Comments: <br /> 10 <br /> p,,, � <br /> EM OW gy <br /> PUBLIC WORKS <br /> FEES Intake Checked By: Date: <br /> Plan Check Fee Intake Comments: vi C�� <br /> Building Permit n' s(1/1��RD VIA IMA� <br /> Surcharge 1� Le <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 /> �i <br />