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• FOR OFFICE USE ONLY *PERMIT# <br /> BUILDING PLANNING <br /> r ' <br /> Bldg/TI/Addn/Rem Size LAL'lo Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use CE <br /> 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/UnfA)14 Landscape or Planning Inspection <br /> Type of Construction ,A needed before final? Yes_ No_ <br /> Existing Sprinkler System? Yes_ No 4'**� Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason / ApprovedeKy Date: Z"Z <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 eq'd lYes No Calculated School Impact Fee: <br /> Approved by: Date:p,- - School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> Comments: 1, <br /> L <br /> PUBLIC WORK <br /> FEES Intake Checked By: Date: <br /> Plan Check Fee Intake Comments: <br /> Building Permit Alb P10 <br /> Surcharge <br /> Additional Plan Check PW Permit Application Submitted? Yes No � <br /> Plumbing Fee PW Worksheet Required? Yes No <br /> Mechanical Fee P 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 No7 Existing Bldg. <br /> Public Works Fee Update/New Detection Yes_ No Existing Bldg.JJ <br /> School Mitigation Fee Update/New Chemical Yes_ No=J= Existing Bldg.J_ <br /> Update/New Fire Service Yes No_J_ Existing Bldg. J <br /> Approved by: Date: <br /> Comments: <br /> 7j �cl <br />