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, �M I T#��,��� <br /> (~ ��j`�r ��!O�~���� � <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> � <br /> Bidg/TI/Addn/Rem Size Zoning Classification ��'.:....' <br /> Garage Size 3��� Overiay/Agreement �^ <br /> VALUATION .A� Nonresidential Use � <br /> Number of Stories � Residential Use �;.:�"':��� <br /> Occupancy Group Proposed No. of Dwelling Units: �� E <br /> Occupant Load Total No. of Dwelling Units: � �'�� <br /> Basement Yes No�Fin/Unf Landscape or Planning Inspection <br /> - - f <br /> Type of Construction �' needed before finai? Yes No d+� <br /> Existing Sprinkler System?Yes No Unk Planning Inspector: a-- <br /> Fire Sprinkler Required Yes No Phone#: �� <br /> Reason Approved b : �°A��'✓ Date: �(�q'j' d� � '? <br /> Existing Fire Alarm Yes No Unk Historic Approved by: '��"-` Date: �� <br /> — — — � <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes No 4� <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law Req'd Yes #of Net New Units: <br /> Deferred Submittal Req'd Yes No <br /> Approved by: Date: /(�y Calculated School Impact Fee: <br /> Comments: ���� �,/,_'� School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: , <br /> i�'�;���S�"U ��°-i �-'J�� C.O�J GnA.�I`� ��;: „ ` '���",�'dl.�.�'e1i <br /> a_, <br /> '��Z Dr -�-o�-riY10. . �Y�1� 'r"r`���l�� � � . <br /> , � <br /> � <br /> FEES PUBLIC WORKS ����n ' <br /> Pian Check Fee PW Permit Required? Yes No <br /> Building Permit Intake Checked By: •''::.�= Date: -,` ;.� ��::h`i� <br /> Surcharge Comments: �,�`�; '�'��c..�i� � i�1.� ��'�t-��' G:.`.' <br /> Additional Plan Check ����j'�j� �� S`Cp/�F QF �/�ja <br /> Plumbing Fee � J�f� PGtJ <br /> ��;�.,�,�?!?" ��!.�C�`1�;�'V• <br /> Mechanical Fee GU0�1'C�S����.a;,�;� <br /> Ping Bldg Review Fee Fire Sprinkler Required by Fire Dept?Yes No <br /> Water Fee (Fees: Yes/No, Explanation, Permit#`s,Amount) <br /> Sewer Fee Water Fee? -� :'�,.,t,j8, Sewer Fee? <br /> Systems Dev. Fee \ _ ' ;-�i:�. � _ �ii,',�, _ , v � <br /> ; � . <br /> � .'�,�.;1;� <br /> Traffic Mitigation Fee � <br /> Public Works Fee System Dev. Fee? Traffic Mitiqation Fee? <br /> School Mitigation Fee �`,• ,:_ ° .=� <br /> � l'�, o <br /> \ <br /> zjv <br />