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� . <br /> FOR OFFICE USE ONL <br /> Y PERMIT# � �'��� �"`" � <br /> BUILDING PLANNING <br /> Bldg/TllAdd errt9Size � 7� .S �: Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Z � �— <br /> Nonresidential Use <br /> Number of Stories Z 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 Inspectio� <br /> T pe of Construction '�l' needed before final? s No_ <br /> Existing Sprinkler System? Yes No Unk_ Planning Inspector: �"�--_� <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved b . Date: � � <br /> Existing Fire Alarm Yes No Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes No School Miti ation 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 /> ZC7/,5 /,/'C. � �✓LS�C... <br /> Comments: ���1 i _ � ��� <br /> I lt1 <br /> �� ���(,t � G'�'' '� � " 1 � //�,/��� <br /> �� � ,� � �ti � �� <br /> PUBLIC WORKS <br /> F��S Intake Checked By: Date: i0� <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-returned to file <br /> Water Fee PW Permit Approved, PW Permit Not Required <br /> Sewer Fee <br /> Systems Dev. Fee ` FIRE DEPARTMENT <br /> Traffc Miti ation Fee Update/New Sprinklers Yes_ No_ Existin Bldg._ <br /> Public Works Fee Update/New Detection Yes_ No_ Existin Bld ._ <br /> School Miti ation Fee Update/New Chemical Yes_ No_ Existin Bldg._ <br /> Update/New Fire Service Yes_ No_ Existing Bldg._ <br /> Approved b : Date: <br /> Comments: <br /> �i <br /> �� � <br />