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FOR OFFICE USE ONLY PERMIT 4�1 tltl0_0 <br /> 0 <br /> BldgITI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupan6y Group Proposed No.of Dwelling Units-, <br /> Occupant Load Total No.of Dwelling Units:I —_ <br /> Basement Yes_ No Hin/UnifLandscape or Planning Inspection <br /> Type of Construction needed before final? Yes— No Y <br /> Ddsting Sprinkler System? Yes No Unk Planning Inspector. <br /> Yes <br /> 0 <br /> �q <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approved by: Date: (L-,13 (o <br /> Existing Fire Alarm Yes No UnkHistoric 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 )plies Yes #of Net New Units: <br /> Deferred Submittj Req'd Yes No Calculated School Impact Fee: <br /> Approved by: Date: p, Z .0 School Impact Fee Credit <br /> Comments Total School Impact Fee Owed: <br /> Comments: <br /> 4Zjy, +t '��IWW ' <br /> - <br /> 4-ok <br /> Intake Checked By._ Date: <br /> Plan Check Fee Intake Comments: <br /> Building Permit <br /> Surcharge <br /> Tre 0 <br /> ----AdditionalRan_Check__1_______'______ PW ­rrffirjVpI1iCa ur — <br /> Plumbing Fee PW Worksheet Required? Yes No <br /> Mechanical Fee PW REVIEW. PW Reviewer <br /> Date:1,0 <br /> Ping Bldg Review Fee SEE PW WORKSHEET return O to file <br /> Water Fee PW Permit Approved, ZPW Permit Not Required <br /> SewerFee, <br /> Systems Dev.Fee <br /> Traffic Mitigation Fee Update/New Sprinklers Yes No Belstina Bfdo._ <br /> Public Works Fee Update/New Detection Yes Mn <br /> School Mitigation Fee -Update/New Chemical Yes No Existing Bldg._ <br /> Update/New Fire Service Yes No Existing Bldg.— <br /> Existing Sprinklers Update/New e/�N nkl-is Y <br /> w Spri ct P s <br /> New <br /> Detection <br /> [on Ye <br /> Up t e <br /> I g <br /> Update <br /> E Ne 7Exstin <br /> Update/ <br /> New Chemical Ye ting <br /> -Up s <br /> Update! <br /> [sting <br /> rApproved by: Date: <br /> Comments: <br />