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FOR OFFICE USE ONLY PERMIT# <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size ! Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use V,pV LAI, '- int <br /> Occupancy Group - Proposed No. of Dwelling Units: <br /> Occupant Load (\j Total No. of Dwelling Units: <br /> Basement Y s_ 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 No_ Phone#: <br /> Reason Approve Date: 12, I <br /> Existing Fire Alarm Yes No Unk v 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 App[147 Yes #of Net New Units: <br /> Deferred Submittal UVA Yes No Calculated School Impact Fee: <br /> Approved by: DateQ_ f - ` School Impact Fee Credit: <br /> Comments:/ Total School Impact Fee Owed: <br /> Comments: <br /> (� f d t <br /> PUBLIC WORKS <br /> FEES Intake Checked By: Date: f -- <br /> Plan Check Fee Intake Comments: <br /> A16 <br /> W eorC/�- <br /> Building Permit Iv r <br /> Surcharge <br /> Additional Plan Check PW Permit Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet Required? Yes No x <br /> Mechanical Fee PW REVIEW: PW Reviewer: Date: 12-/3- <br /> Ping Bldg Review Fee SEE PW WORKSHEET-returned to file <br /> Water Fee PW Permit Approved, X 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 />