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� � • <br /> � (� <br /> FOR OFFICE USE ONLY PERMIT# wJ���� ����� <br /> � � � � BUILDING � � �� � PLANNING� � � � <br /> Bldg/TI/Addn/Rem Size Zoning Classification � 1 <br /> Garage Size �� Overlay/Agreement <br /> VALUATION �j�3C� Nonresidential Use � <br /> Number of Stories Residential Use ���� ��1,'y-���C-C��S�< � �����q <br /> J <br /> Occupancy Group C� �r� `�� <br /> Occupant Load Total No. of Dwelling Units: �d�e <br /> Basement Yes No Fin/Unf Landscape or Planning Inspection <br /> T pe of Construction �> needed before final? Yes_ No� <br /> Existing Sprinkler System? Yes No Unk_ Planning Inspector: "—� <br /> Fire Sprinkler Required Yes No Phone#: ^— <br /> Reason Approved by: Date: S �� ��1�- <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 S ool Dist <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred submittal Req'd Yes No Ca�culated School Impact e: <br /> Approved by: Date:,�" / / School Impact Fee Cr it: <br /> Comments: \,�,/n� Total Schooi Impact ee Owed: <br /> ��/S //'�" `'�tirV'4`�' Comments: `� �� .� <br /> �.,�� s���.� <br /> �� ,,,c2�. u���=��. <br /> � �-��;� <br /> PUBLIC WORKS <br /> FEES Intake Checked By: �[3 Date: '�`���� 7 <br /> Plan Check Fee Intake Comments: , <br /> Building Permit Jc{��,�-� �, 2- .ShaG�S c�/a i�iGJC <br /> Surcharge — /V�' r����'-"'��5, <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: � -i� �/7 <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 Miti ation Fee Update/New Sprinklers Yes_ No_ Existin Bldg._ <br /> Public Works Fee Update/New Detection Yes_ No_ Existin Bld ._ <br /> School Mitigation Fee Update/New Chemical Yes_ No_ Existin Bidg._ <br /> Update/New Fire Service Yes No_ Existing Bldg._ <br /> Approved b : Date: <br /> Comments: <br /> L <br /> � <br />