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! FOR OFFICE USE ONLY �ERMIT# �j(OL�� '�� .Z�� <br /> BUILDING PLANNING <br /> Bldg/T d� Rem Size � S� Zoning Classification -" <br /> Garage Size Overlay/Agreement <br /> VALUATION �,�.�- Nonresidential Use — <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/Unf Landscape or Planning inspection <br /> Type of Construction � needed before final? Yes No <br /> Existing Sprinkler�;ystem7 Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason Approved by:'� Date: � 2 2' I�a <br /> Existing Fire Alarm Yes No Unk Historic Approved by: �?�� Date: �' ,, �(Q <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 Calculated School Impact Fee: <br /> Approved by: Date: / � School Impact Fee Credit: <br /> Comments: - �— Total School Impact Fee Owed: <br /> Z(�,/�. /,�'� � �/1.���� <br /> Comments: � � ��/�, , <br /> tJ�►'���1.�� I` ,-1�ti-- ��'I.�V` � �' U <br /> c�� � a����� <br /> , , <br /> PUBLIC WORKS <br /> FEES Intake Checked By:�_ Date: � ) <br /> Plan Check Fee Intake Comments: <br /> Building Permit <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: <br /> Ping Bldg Review Fee SEE PW WORKSHEET-retu�ed 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 Bidg._ <br /> School Mitigation f=ee Update/New Chemical Yes No Existing Bldg._ <br /> Update/New Fire Service Yes No Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br /> `"l,Z <br />