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• � <br /> FOR OFFICE USE ONLY PERMIT# �4��o�' "� V � <br /> BUILDING PLANNINC <br /> BI /TI/Addn/Rem Size Zoning Classification <br /> Gara e Size Overlay/Agreement <br /> VALUA ION Nonresidential Use <br /> Number o#,Stories Residential Use <br /> � <br /> Occupancy'Group Proposed No. of Dwelling Units: <br /> Occupant Loa�i Total No. of Dwelling Units: <br /> Basement Yes No Fin/Unf Landscape or Planning Inspection <br /> T pe of Construcflan needed before final? Yes No <br /> Existing Sprinkler Sys4 m? Yes No Unk Planning Inspector: ��l�11 11� -�/� � <br /> Fire Sprinkler Require�l Yes No Phone#: � — Z�7 U`� 7 7 <br /> Reason �� Approved py� �;� D�te' � <br /> � F��� <br /> �.---- <br /> Existing Fire Alarm 'Yes No Unk Historic Appro ed 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 /> Comments: <br /> ' PUBLIC WORKS <br /> FEES take Checked By: Date: <br /> Plan C�ieck Fee Inta e Comments: <br /> � <br /> Building�Permit <br /> Surcharge'�, ��'� <br /> �� <br /> Additional P n Check PW Permif�Application Submitted? Yes No <br /> Plumbing Fee�'� PW Worksh� t Required? Yes No <br /> Mechanical Fee'�. PW REVIEW: W Reviewer: Date: <br /> Ping Bldg Review��ee SEE PW V1�RKSHEET-returned to file <br /> Water Fee � PW Permit Ap�roved, PW Permit Not Required <br /> SewerFee �� <br /> Systems Dev. Fee � FII�E DEPARTMEtVT <br /> Traffic Miti ation Fee Update/New Sprinklers Y.es No Existing Bldg._ <br /> Public Works Fee '�, Update/New Detection Yes No Existing Bldg._ <br /> School Mitigation Fee `� Update/New Chemical Yes No Existin Bldg._ <br /> �� Update/New Fire Service Yes Existing Bldg._ <br /> ,\ — \ <br /> y Approved b : ` Date: <br /> `� Comments: � <br /> � <br /> �� <br /> � 3� <br />