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��� �1r��A�� �1�� ��,�� �PERMtT# ��b�Z �c''i/Cc <br /> BIJII�DIi�G �L,4P�ilIIRIG <br /> � Bidg� UAddnlRem Size ��'' '"' S� Zoning Classification <br /> �- <br /> Garage Size $ �,F Overlay/Agreement <br /> VALUATION E'`�'J � "' ""P Nonresidential Use <br /> Number of Sfories ,,�� Residential Use , <br /> Occupancy Group r� l.�( Proposed No, of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes_ No ���Fin/Unf Landscape or Pfanning Inspectio�r' <br /> Type 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: <br /> Existing Fire Alarm Yes No_Unk _ Historic Approved by: Date: <br /> Fire Alarrn Required Yes_ No_ School Mitigation qd? Yes No <br /> Reason Everett School st Mukilteo 5chool Dist <br /> Enclosure Law Applies Yes #of Net New nits: <br /> Deferred Submittal Req'd Yes No <br /> Approved by: `_- — Date:"�!`,�, �� Calculate School Impact Fee: <br /> Commenfs: � ,� .,� � , School � acf Fee Credit: <br /> cr}�. !'r�=- i.2,'���. p <br /> Total chool impact Fee Owed: <br /> Co ments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee � Intake Checked By: Dafe: <br /> Building Permit � - Intake Comments: <br /> Surcharge -�� �p� �� �b��� Q � �. <br /> Additional Plan Check � •� PW Permif Application Submitted? Yes No <br /> Plumbing Fee ��(�. PW Worksheet Required? Yes No <br /> Mechanical Fee Q•0� PW REVIEW: PW Reviewer: Date: <br /> Ping Bldg Review Fee ��- SEE PW WORKSHEET-returned to file <br /> Water Fee Q.D(� PW Permit Approved, PW Permit Not Required <br /> Sewer Fee ��_�� <br /> Systems Dev. Fee �p�Q� FIRE DEPARTMENT <br /> Traffic Mitigation Fee �S( b a Update/New Sprinklers Yes_ No Existing Bldg._ <br /> Public Works Fee �-� Update/New Detection Yes No Existin Bld <br /> — g g'— <br /> 5chool Mitigation Fee Update/New Chemical Yes_ No_ Exisfing Bldg._, <br /> Update/New Fire Service Yes_ No_ Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br /> Z�� . <br />